开腹手术与EST+LC治疗胆囊结石合并胆总管结石疗效分析

李晓光

（陕西省宝鸡市岐山县医院，陕西 宝鸡，722400）

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摘要：

目的 分析开腹手术与EST+LC治疗胆囊结石合并胆总管结石的疗效。方法 选取我院2014年5月至2016年5月收治的胆囊结石合并胆总管结石患者80例，随机分为开腹组（n=40）和微创组（n=40），开腹组患者采用开腹胆囊切除、胆总管切开取石、T管引流治疗，微创组患者采用EST+LC治疗，对两组患者的手术时间、术中出血量、肠鸣音恢复时间、肛门排气时间、住院时间、住院费用、手术成功情况、术后镇痛药使用情况及并发症发生情况进行统计分析。结果 治疗后，微创组患者的术中出血量显著少于开腹组，肠鸣音恢复时间、肛门排气时间、住院时间均显著短于开腹组，住院费用显著低于开腹组，术后镇痛药使用率、并发症发生率显著低于开腹组，差异均具有统计学意义（P<0.05）。结论 EST+LC治疗胆囊结石合并胆总管结石疗效较开腹胆囊切除、胆总管切开取石、T 管引流好。

关键词：开腹胆囊切除；T 管引流；EST+LC；胆囊结石合并胆总管结石

中图分类号：R657.4文献标志码：A文章编号：2096-1413(2017)08-0073-02

Efficacy analysis of open surgury and EST + LC in the treatment of gallbladder and common bile duct stones
LI Xiao-guang
(Qishan County Hospital of Baoji, Baoji 722400, China)

ABSTRACT: Objective To analyze the efficacy of open surgury and EST+LC in the treatment of gallbladder and common bile duct stones. Methods Eighty cases of patients with gallbladder and common bile duct stones who were treated in our hospital from May 2014 to May 2016 were selected and randomly divided into laparotomy group (n =40) and minimally invasive group (n=40). The laparotomy group was given cholecystectomy, common bile duct exploration, T tube drainage treatment, while the minimally invasive group was given EST+LC treatment. The operative time, blood loss, recovery time of bowel sounds, flatus time, hospital stay, hospital costs, the operation successful, postoperative analgesic use conditions and complications of the two groups were statistically analyzed. Results The blood loss of the minimally invasive group were significantly less than that of the laparotomy group; the recovery time of bowel sounds, flatus time, hospital stay of the minimally invasive group was significantly shorter than those of the laparotomy group. The hospitalization costs and postoperative analgesic usage of the minimally invasive group were lower than those of the laparotomy group; the differences were statistically significant (P<0.05). Conclusion The efficacy of EST+LC in the treatment of gallbladder is
better than than cholecystectomy, common bile duct stones and T tube drainage .
KEYWORDS: cholecystectomy; T tube drainage; EST+LC; gallbladder and common bile duct stones

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