急性结石性胆管炎的治疗分析

摘要

目的：探讨急性结石性胆管炎的治疗。方法：选取122例结石性急性胆管炎患者，随机分为观察组（n＝63）和对照组（n＝59），观察组予以腹腔镜胆囊切除术（LC）联合胆总管探查术（LCBDE），对照组予以腹腔镜胆囊切除术（LC）联合内镜乳头切开取石术（EST），比较两组治疗情况和相关临床指标。结果：观察组手术时间、术中出血量、体温恢复时间均短于对照组（P＜0.05），两组结石清除率、中转开腹率、术后并发症发生率差异无统计学意义（P＞0.05），观察组单次治疗成功率为95.2％，明显高于对照组的81.4％（P＜0.05）。结论：腹腔镜胆囊切除术（LC）联合胆总管探查术（LCBDE）治疗结石性急性胆管炎具有单次治疗成功率高，术中出血量少，手术时间短等优势，促进了患者术后恢复，具有积极的应用价值。%Objective To explore the treatment of acute cholangitis stones. Method 122 cases of patients with acute cholangitis stones were randomly divided into the observation group(n=63)and control group(n=59),the observation group was treated with laparoscopic cholecystectomy( LC)combine with laparoscopic common bile duct exploration( LCBDE),the control group was treated with laparoscopic chol-ecystectomy( LC )combine with endoscopic sphincterotomy( EST ),the treatment and related clinical indicators were compared in two group. Results The operative time,blood loss,and recovery time of temperature of the observation group were shorter than that of the control group(P<0. 05). the stone clearance rate,laparotomy rate,incidence of postoperative complications of two groups had no significant differ-ence,the difference wasn't statistically significant( P>0. 05),the single treatment success rate of observation group was 95. 2%,which was higher than that of the control group 81. 4%(P<0. 05). Conclusion Laparoscopic cholecystectomy(LC)combine with laparoscopic common bile duct exploration( LCBDE)in treatment of acute cholangitis stones,which has the advantage of a high single treatment success rate,less blood loss and shorter operative time,improves the recovery of patients,and has application value positive.