腹腔镜胆囊切除、胆总管探查、内引流并一期缝合术的疗效分析

目的对经腹腔镜胆囊切除、胆总管探查取石、T管引流术与经腹腔镜胆囊切除、胆总管探查取石、内引流并一期缝合术的治疗效果和效益进行比较评价。方法 79例胆囊结石合并胆总管结石的患者行腹腔镜胆囊切除、胆总管探查取石、T管引流术(对照组),62例行腹腔镜胆囊切除、胆总管探查取石、内引流并一期缝合术(观察组)。对2组患者治疗成功率、并发症发生率、胆红素完全恢复正常时间、住院时间、休养时间及治疗费进行综合测量及比较分析。结果 2组患者间治疗成功率、并发症发生率及胆红素完全恢复正常的时间差异均无统计学意义(P>0.05);观察组患者的住院时间及休养时间明显短于对照组(P<0.05),治疗费用也明显少于对照组(P<0.05)。结论内置管引流在达到传统T管引流治疗效果的同时,住院时间、休养时间及治疗费用均显著优于后者,值得进一步推广应用。

Analysis of Effect and Quailty of Laparoscopic Cholecystectomy with Common Bile Duct Exploration,Built-in-Tube Drainage,and Primary Suture

Objective To compare and evaluate the effect and quality of T-tube drainage and bulit-in-tube drainage plus primary suture after laparoscopic cholecystectomy(LC).Methods A clinical trial was taken in 79 cases with T-tube drainage(control group) and 62 cases with built-in-tube drainage(observation group).The treatment success rate,incidence of complications,bilirubin recovered time,length of stay,recuperation time,and treatment cost were measured and compared between the two groups.Results There were no stat...