微创手术和传统手术治疗肝胆管结石临床疗效对比研究

目的 探讨微创手术和传统手术治疗肝胆管结石临床疗效的对比.方法 将62例肝胆管结石患者进行随机分组,其中治疗组31例,采用微创内镜手术治疗,对照组31例,采用传统手术治疗,根据观察结果,分析探讨两组的治疗效果.结果 治疗组术中出血量、手术时间以及术后引流管留置时间均低于对照组,术后并发症发生率、残石率、结石复发率也是治疗组较低,且两组的差异具有统计学意义(P＜0.05).结论 微创内镜手术治疗肝胆管结石的效果好,安全,副作用少.

The efficacy of minimally invasive surgery versus that of traditional surgery for intrahepatic bile duct stones

Objective To explore the efficacy of minimally invasive surgery versus that of traditional surgery for intrahepatic bile duct stones. Methods 62 patients with intrahepatic bile duct stones were randomly assigned to receive minimally invasive surgery （ 31 patients, study group ）, or traditional surgery （ 31 patients, control group ）. The efficacy was assessed and compared between the two groups according to the surgical outcomes. Results Surgical duration and duration of drainage tube placement were shorter, intraoperative bleeding volume was smaller, and rates of postoperative complications, residual stones, and recurrence were lower in the study group than in the control group, with a statistical significance （ P 〈 0.05 ）. Conclusions Minimally incasive endoscopic surgery is effective, safe and has fewer side effects.