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腹腔镜与开腹手术治疗胆总管结石的疗效对比分析
引用本文:林海龙,李国锋,吕亚静,佟建军. 腹腔镜与开腹手术治疗胆总管结石的疗效对比分析[J]. 海南医学院学报, 2011, 17(12): 1670-1672. DOI: 46-1049/R.20110926.1203.004
作者姓名:林海龙  李国锋  吕亚静  佟建军
作者单位:1. 河北兴隆县妇幼保健院,河北承德,067300
2. 河北兴隆县人民医院,河北承德,067300
基金项目:海南医学院科研基金资助学报项目(0020110459)~~
摘    要:目的:对比腹腔镜与开腹手术对胆总管结石的治疗效果。方法:胆总管结石患者86例,随机分为两组,各43例,分别予腹腔镜及开腹手术治疗,对比两组治疗效果、术中情况、术后并发症发生情况。结果:两组患者均全部成功清除结石,术后均未发生胆汁漏、切口感染、胆道感染及肺部感染等并发症;腹腔镜组术中出血量、肛门排气时间、总住院时间均显著少/短于开腹手术组(P<0.01),手术时间显著长于开腹手术组(P<0.01)。结论:腹腔镜联合胆道镜治疗胆总管结石疗效确切,安全可靠,与开腹手术相比具有创伤小、术后恢复快、住院时间短等优点,值得在临床广泛应用。

关 键 词:腹腔镜  开腹手术  胆总管结石

Comparison of effect of laparoscopic surgery and open surgery on treatment of choledocholithiasis
LIN Hai-Long,LI Guo-feng,LU Ya-jing,TONG Jian-jun. Comparison of effect of laparoscopic surgery and open surgery on treatment of choledocholithiasis[J]. Journal of Hainan Medical College, 2011, 17(12): 1670-1672. DOI: 46-1049/R.20110926.1203.004
Authors:LIN Hai-Long  LI Guo-feng  LU Ya-jing  TONG Jian-jun
Affiliation:LIN Hai-Long1,LI Guo-feng1,LU Ya-jing2,TONG Jian-jun1
Abstract:Objective: To compare the effect of laparoscopic surgery and open surgery on treatment of choledocholithiasis.Methods: A total of 86 cases with choledocholithiasis were randomly divided into two groups by half: laparoscopic surgery group and open surgery group.The effectiveness,situation during surgery and incidence of complication were compared.Results: All calculus were cleared,and no bile leakage,infection of incision,biliary infections and pulmonary complications occurred in two groups.The hemorrhage vo...
Keywords:Laparoscopic  Open surgery  Choledocholithiasis  
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