腹腔镜与开腹肝叶切除术治疗复发性化脓性胆管炎临床对比分析

目的探讨腹腔镜与开腹肝叶切除术在复发性化脓性胆管炎手术治疗中的临床对比.方法选择以复发性化脓性胆管炎来我院治疗的患者67例，其中行腹腔镜治疗者32例，行开腹肝叶切除术者35例，术前所有患者均先行内窥镜逆行胰胆管造影术（ERCP）。结果腹腔镜组腹痛缓解所需时间及治疗7d后总胆红素、碱性磷酸酶、丙氨酸转移酶、谷氨酰转肽酶水平和住院时间比开腹手术组均低，差异有统计学意义（P〈0．05）。结论腹腔镜治疗急性梗阻性化脓性胆管炎安全、有效，是首选的治疗方式。

Contrastive analysis of laparoscopy and conventional surgery in treatment of acute obstructive suppurative cholangitis

Objective To explore laparoscopy and conventional surgery in treatment of acute obstructive suppurative cholangitis.Methods There were 67 cases involving in the treatment of acute obstructive suppurative cholangitis in our hospital.Laparoscopy were 32 cases and conventional surgery were 35 cases.All cases used endoscopic retrograde cannulation of the pancreatic before surgery.Results The relief of pain in abdomen was quicker,hospital stay was shorter and the decreased level of serum bilirubin,alkaline phosphatase,alanine transferring enzyme,glutamyl transpeptidase were more obvious in laparoscopy group than in conventional surgery group at 7th day after the treatment.Conclusion Laparoscopy therapy is safe and effective for acute obstructive suppurative cholangitis,thus can be considered as optimal treatment.