基层医院开展腹腔镜胆总管切开取石术可行性研究

摘要

目的：研究在基层医院应用腹腔镜技术治疗胆总管结石的可行性。方法将32例胆总管结石患者随机分为腹腔镜手术组(17例腹腔镜胆道探查，即LCHTD组，简称L组)与开腹手术组(15例开腹胆总管探查，即OCHTD组，简称O组)，分析对比2组患者的临床资料。结果 L组术中出血量、术后肠蠕动恢复、住院时间均显著优于O组(均P<0.05)。结论 LCHTD术式具有较大优势，可在腹腔镜技术掌握较好的基层医院逐步开展。%Objective To study feasibility of choledocholithotomy by laparoscopic surgery in primary hospital.Methods 32 patients with choledochoilthiasis were divided randomly into laparoscopic surgery group (17 cases of laparoscopic choledocholithotomy T-tube drainage,LCD-TD group) and open surgery group (15 cases of open choledocholithotomy T-tube drainage,OCH-TD group). The clinical data in the two groups were compared and analyzed.Results LCHTD group were signifi cantly superior to OCHTD groupin blood loss,biliary duct injury,the recovery time of intestinal peristalsis after operation,length of hospital stay (P<0.05) .Conclusion LCH-TD surgery has great advantages,it can be applied in the primary hospitals.