经内镜与开腹手术治疗胆总管结石的临床对比
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摘要
目的比较内镜与开腹手术治疗胆总管结石的临床效果。方法按照时间顺序将我院2014年10月~2015年10月间收治的80例胆总管结石患者分为两组,观察组(40例)和对照组(40例)。给予观察组患者内镜括约肌切开手术治疗,给予对照组开腹手术治疗,对比两组的治疗效果。结果观察组患者的取石成功率、并发症发生率均明显优于对照组,两组差异有统计学意义(P<0.05)。结论对胆总管结石患者进行内镜手术治疗,效果显著,值得推广和应用。
Objective To compare the clinical effect of endoscopic operation and laparotomy operation in treatment of choledocholithiasis. Methods 80 patients of choledocholithiasis who were received and treated in hospital were selected from October 2014 to October 2015, and they were divided into the observation group(40 patients) and the control group(40 patients) according to their hospital-visitation sequence; 40 patients in the observation group were operated with endoscopic sphincter-incision surgery, while, 40 patients in control group were operated with laparotomy, the treatment effects between two groups was compared. Results Choledocholithiasis operation successful rate and the complication incidence of the observation group was much better than that in the control group, and the difference was statistically significance(P<0.05). Conclusion Endoscopic operation is much more effective in treatment of choledocholithiasis; Thus, it is quite worthwhile to be promoted and applied widespread.
Objective To compare the clinical effect of endoscopic operation and laparotomy operation in treatment of choledocholithiasis. Methods 80 patients of choledocholithiasis who were received and treated in hospital were selected from October 2014 to October 2015, and they were divided into the observation group(40 patients) and the control group(40 patients) according to their hospital-visitation sequence; 40 patients in the observation group were operated with endoscopic sphincter-incision surgery, while, 40 patients in control group were operated with laparotomy, the treatment effects between two groups was compared. Results Choledocholithiasis operation successful rate and the complication incidence of the observation group was much better than that in the control group, and the difference was statistically significance(P<0.05). Conclusion Endoscopic operation is much more effective in treatment of choledocholithiasis; Thus, it is quite worthwhile to be promoted and applied widespread.
引文
[1]王功锦,王丹.内镜与传统开腹手术治疗胆囊并胆总管结石的临床对比[J].肝胆外科杂志,2014,22(4):266-268.
[2]杨春建,齐伟,钱小星.胆总管结石的内镜及开腹手术治疗的疗效分析[J].肝胆外科杂志,2014,22(5):360-362.
[3]方兰,黎朝良,王斌,等.胆总管结石内镜下取石与开腹取石对机体炎症反应和免疫功能的影响[J].中华消化内镜杂志,2012,29(10):577-580.
[4]林海龙,李国锋,吕亚静,等.内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.
[5]赵满国,何莹燕.内镜下EST与开腹手术治疗胆总管结石的临床对比研究[J].卫生职业教育,2012,30(4):152-153.
[6]王晨,陶文雅,徐韦.腹腔镜联合胆道镜与开腹手术治疗胆总管结石临床对比研究[J].中国普通外科杂志,2013,22(2):230-232.
[7]陶利平,李骁,陈霖,等.经内镜逆行胰胆管造影与开腹手术治疗胆总管结石及其合并胆囊良性病变的成本-效果分析[J].华西医学,2014,29(10):1823-1826.
[8]吴国栋,张丰深,孙海,等.胆总管结石经内镜或开腹手术治疗后远期并发症的临床观察[J].中华消化内镜杂志,2012,29(2):103-104.
[2]杨春建,齐伟,钱小星.胆总管结石的内镜及开腹手术治疗的疗效分析[J].肝胆外科杂志,2014,22(5):360-362.
[3]方兰,黎朝良,王斌,等.胆总管结石内镜下取石与开腹取石对机体炎症反应和免疫功能的影响[J].中华消化内镜杂志,2012,29(10):577-580.
[4]林海龙,李国锋,吕亚静,等.内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.
[5]赵满国,何莹燕.内镜下EST与开腹手术治疗胆总管结石的临床对比研究[J].卫生职业教育,2012,30(4):152-153.
[6]王晨,陶文雅,徐韦.腹腔镜联合胆道镜与开腹手术治疗胆总管结石临床对比研究[J].中国普通外科杂志,2013,22(2):230-232.
[7]陶利平,李骁,陈霖,等.经内镜逆行胰胆管造影与开腹手术治疗胆总管结石及其合并胆囊良性病变的成本-效果分析[J].华西医学,2014,29(10):1823-1826.
[8]吴国栋,张丰深,孙海,等.胆总管结石经内镜或开腹手术治疗后远期并发症的临床观察[J].中华消化内镜杂志,2012,29(2):103-104.