三镜联合与开腹手术治疗急性梗阻化脓性胆管炎的对比分析

摘要

Objective:To discuss the clinical effect of three kinds of endosropes ( duodenosdopy ,laparoscupy and choledochos-copy) combined surgery fur the treatment of acute obstructive suppurative cholangitis( AOSC). Methods:The clinical data of 22 patients who underwent tri-endoscopic surgery- for AOSC between Mar. 2007 and Mar. 2010 were collected to be compared with that of 24 patienls who underwent open surgery for t he same disease at the same period. Results:Tri-endoscopic surgery group was obviously superior to laparotomy group on intraoperative blood loss,gastrointestinal function restoration time,postoperative complications and the length of hospital stay ( P ＜0. 05 ). The one-week postoperative laboratory indires( WBC,DB1L,ALT,ALB,CHE) of the tri-endoscopie surgery group were obviously superior to those of laparotomy group (P ＜ 0. 05). Conclusions:Three kinds of endoscopes combined surgery for the treatment of AOSC is a kind of safe and feasible procedure which has the advantage of less trauma, fewer complications and faster recovery.%目的:探讨三镜联合治疗急性梗阻化脓性胆管炎的临床疗效,方法:收集2007年3月至2010年3月为22例急性梗阻化脓性胆管炎患者行三镜联合手术的临床资料,并与同期24例开腹手术进行对比分析.结果:术中出血量、胃肠功能恢复时间、术后并发症及住院时间三镜联合治疗组明显优于开腹手术(P＜0.05)；术后一周实验室检查指标(白细胞计数、结合胆红素、谷丙转氨酶、血清白蛋白、胆碱酯酶)较开腹组明显好转(P＜0.05).结论:三镜联合治疗急性梗阻化脓性胆管炎患者创伤小、康复快、并发症少,手术安全可行.