| 李亮闫军孙存山任菲马博△.开放手术与内镜治疗胆总管结石的临床疗效对比分析研究[J].,2014,14(5):924-926 |
| 开放手术与内镜治疗胆总管结石的临床疗效对比分析研究 |
| Study on Curative Effect of Open Surgery and EndoscopicCholedocholithotomy in the Treatment of Choledocholith |
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| DOI： |
| 中文关键词: 开放手术 内镜手术 胆总管结石 |
| 英文关键词: CBDE EST Choledocholith |
| 基金项目: |
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| 中文摘要: |
| 摘要目的：分析探讨内镜括约肌切开与胆管切开取石治疗胆总管结石的疗效比较。方法：回顾性分析2006 年1 月至2013 年1
月间收治的胆总管结石病人150 例，65 例为开放手术组，55 例为内镜治疗组，通过比较两组患者手术治疗成功率、操作时间、术
中出血量、术后并发症、住院时间及住院费用。结果：开放手术组和内镜治疗组治疗成功率分别为96.92％和98.18％；平均手术时
间分别为95.8 士14.6 和51.32± 22.76 分钟；术中出血量分别为177.25± 48.67 和28.23± 18.96 mL；术后并发症的发生率分别为
9.23％和3.63％；术后住院天数分别为20.54± 10.69 和8.83± 6.41 天；住院费用分别为22312.04± 4563.42 和10518.42± 5368.62
元；两组间治疗成功率差异均无统计学意义(P>0.05)。两组间平均手术时间、术中失血量、术后并发症的发生率、住院天数及住院
费用差异均有统计学意义(P<0.05)。结论：与开放手术相比，内镜治疗胆总管结石具有安全、有效的优点，是目前治疗胆总管结石
的首选方法。 |
| 英文摘要: |
| ABSTRACT Objective:To compare the curative effect of Endoscopic sphincterotomy(EST) and Common bile duct exploration(CBDE)
in the treatment of choledocholith clinical analysis. Methods:LAretrospective analysis of 55 cases of endoscopic choledocholithotomy,
open surgery in patients with clinical data of 65 patients from 2006 to 2013. The time of operation, operation successful rate, blood loss,
postoperative complications,hospitalizations and cost were recorded and analyzed.Results: The operation successful rate for CBDE was
96.92％, the mean time of operation was 95.8± 14.6 min, blood loss was 177.25± 48.67ml, complications was 9.23%, hospitalization
was 20.54 ± 10.69 d and cost was 22312.04 ± 4563.42. The operation successful rate for EST was 98.18％ , and mean duration of
operation was 51.32± 22.76 minutes, and blood loss was 28.23 hospitalization was 8.83± 6.41 days and cost was 10518.42± 5368.62
with no significant difference(P>0.05) for the operation successful rate, and it had significant differences for operational time, blood loss,
postoperative complications, hospital days, and hospital cost between two teams.Conclusion: compared CBDE，EST is a safe and
effective method. EST is recommended for treating choledocholith. |
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