腹腔镜胆总管切开取石术与开腹取石术临床疗效及安全性比较

王晓岐，杨建科

（陕西省岐山县医院外三科，陕西 宝鸡，722400）

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摘要：

目的 分析比较腹腔镜胆总管切开取石术与开腹手术的临床疗效及安全性。方法 选取2010年4月至2015年12月于我院接受治疗的胆总管结石患者52例作为研究对象，根据采取术式的不同将其分为腹腔镜组（行腹腔镜胆总管切开取石） 22例及开腹组（行开腹胆总管切开取石）30例。对两组患者手术指标及并发症发生率进行观察与比较。结果 两组患者手术时间差异不具有统计学意义（P>0.05）；观察组患者术中出血量、胃肠功能恢复时间及住院时间均明显短于对照组（P<0.05）；
腹腔镜组患者并发症发生率为9.09%，明显少于开腹组的56.67%（P<0.05）。结论 与开腹手术相比，腹腔镜胆总管切开取石术简便易行，患者术后恢复较好，安全性高，值得临床推广为首选治疗方法。

关键词：胆总管结石；腹腔镜胆总管切开取石；开腹胆总管切开取石

中图分类号：R657.4 文献标志码：A文章编号：2096-1413(2016)27-0099-02

Comparison of efficacy and safety between laparoscopic choledocholithotomy and open choledocholithotomy
WANG Xiao-qi, YANG Jian-ke
(3rd Division in Department of Surgery, Qishan County Hospital, Baoji 722400, China)

ABSTRACT: Objective To compare the clinical efficacy and safety between laparoscopic choledocholithotomy and open choledocholithotomy. Methods Fifty-two cases of patients with choledocholithiasis admitted in our hosiptal from April 2010 to December 2015 were chosen as the study objects. According to the surgery methods, all the patients were divided into laparoscope group with 22 cases (underwent laparoscopic common bile duct lithotomy) and laparotomy group with 30 cases (underwent laparotomic common bile duct lithotomy). The surgery indexes and incidence rate of complications in the two groups were observed and compared. Results The difference in operation time between the two groups was not significant (P>0.05); the amount of bleeding loss, recovery time of gastrointestinal functions and length of hospital stays of the laparoscope group were significantly better than those of the laparotomy group (P<0.05); the occurrence rate of complications in the laparoscope group was 9.09%, which was significantly lower than 56.67% of the laparotomy group (P<0.05). Conclusion Compared with laparotomic common bile duct lithotomy, laparoscopic common bile duct lithotomy is more easily operated, with better postsurgery recovery and higher safety, which is worthy of clincial promotion to be the primary choice of treatment.
KEYWORDS: choledocholithiasis; laparoscopic common bile duct lithotomy; laparotomic common bile duct lithotomy

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