腹腔镜下取石术与开腹手术治疗胆总管结石患者的临床效果比较研究.doc

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1、腹腔镜下取石术与开腹手术治疗胆总管结石患者的临床效果比较研究异均有统计学意义；且研究患者的结石清除率为95.24%、治疗总有效率为98.41%均高于对照组的82.26%、88.71%，并发症的发生率4.76%低于对照组的17.74%，差异均有统计学意义。结论：腹腔镜下取石术应用于胆总管结石患者，不仅能够减少术中出血量、缩短手术和住院时间，同时具有结石清除率高和并发症低的特点，是一种创伤轻微、安全有效的手术治疗方式。　　【关键词】胆总管结石；腹腔镜；开腹手术；临床效果　　ComparativeStu

2、dyofLaparoscopicLithotripsyandOpenSurgeryintheTreatmentofCholedocholithiasis/LIDa.//MedicalInnovationofChina，2017，14：046-049　　【Abstract】Objective：Tocomparetheclinicaleffectoflaparoscopiclithotripsyandopensurgeryinpatientswithcholedocholithiasis.Method

3、：FromJanuary2011toSeptember2016，125patientswithcholedocholithiasistreatedinourhospitalweredividedintotwogroupsaccordingtotherandomnumbertablemethod，62patientsincontrolgroupweretakenopensurgery，63patientsinstudygroupweretakenlaparoscopiclithotripsy.The

4、intraoperativebloodloss，operationtime，incisionlength，postoperativeexhausttimeandhospitalizationtime，stoneclearancerate，complicationoccurrencerateandtotaleffectiverateoftwogroupswerecomparedandanalyzed.Result：Thestudygroup’sintraoperativebloodlosswasmL

5、，operationtimewasmin，incisionlengthwascm，postoperativeexhausttimewashandhospitalizationtimewasdays，wereallbetterthanthoseofthecontrolgroup，thedifferenceswerestatisticallysignificant.Thestudygroup’sstoneclearanceratewas95.24%，thetotaleffectiveratewas98

6、.41%，bothwerehigherthanthoseofthecontrolgroup，thecomplicationoccurrencerateofstudygroupwas4.76%，lowerthanthatofthecontrolgroup，thedifferenceswerestatisticallysignificant.Conclusion：Laparoscopiclithotripsyforpatientswithcommonbileductstones，cannotonlyr

7、educetheintraoperativebleeding，shortentheoperationandhospitalizationtime，butalsohashighstoneclearancerateandlowcomplicationoccurrencerate，whichisamini-invasive，safeandeffectiveoperationmethod.　　【Keywords】Commonbileductstones；Laparoscopic；Opensurgery；C

8、linicaleffect　　First-author’saddress：AffiliatedHospitalofYangzhouUniversity，Yangzhou225012，China