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腹腔镜再次胆道手术对胆总管结石患者的临床效果及对生活质量的影响

王贤龙, 许全林

王贤龙, 许全林. 腹腔镜再次胆道手术对胆总管结石患者的临床效果及对生活质量的影响[J]. 实用临床医药杂志, 2020, 24(4): 108-111. DOI: 10.7619/jcmp.202004028
引用本文: 王贤龙, 许全林. 腹腔镜再次胆道手术对胆总管结石患者的临床效果及对生活质量的影响[J]. 实用临床医药杂志, 2020, 24(4): 108-111. DOI: 10.7619/jcmp.202004028
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WANG Xianlong, XU Quanlin. Effect of laparoscopic secondary surgery for biliary tract on clinical efficiency and quality of life in patients with choledocholithiasis[J]. Journal of Clinical Medicine in Practice, 2020, 24(4): 108-111. DOI: 10.7619/jcmp.202004028
Citation: WANG Xianlong, XU Quanlin. Effect of laparoscopic secondary surgery for biliary tract on clinical efficiency and quality of life in patients with choledocholithiasis[J]. Journal of Clinical Medicine in Practice, 2020, 24(4): 108-111. DOI: 10.7619/jcmp.202004028
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腹腔镜再次胆道手术对胆总管结石患者的临床效果及对生活质量的影响

  • 1. 陕西省商洛市商南县中医医院 外科, 陕西 商洛, 726300;

  • 2. 陕西省西安市第三医院 普外科二病区, 陕西 西安, 710016

详细信息
    通讯作者:

    许全林, E-mail: daoke1982@163.com

  • 中图分类号: R657.4

Effect of laparoscopic secondary surgery for biliary tract on clinical efficiency and quality of life in patients with choledocholithiasis

  • 1. Surgery Department, Shangnan County Hospital of Traditional Chinese Medicine, Shangluo, Shaanxi, 726300;

  • 2. The Second Ward in Department of General Surgery, Xi'an Third Hospital, Xi'an, Shaanxi, 710016

摘要

    摘要
  • 摘要: 目的 探讨腹腔镜再次胆道手术对胆总管结石患者的临床效果及对患者生活质量的影响。 方法 选取130例具有胆道结石手术史需再次进行手术治疗的胆总管结石患者作为研究对象,依照随机分组法将其分为对照组与研究组,每组65例,分别采用开腹手术与腹腔镜手术,对比2组患者的临床治疗效果、生活质量评分。 结果 研究组患者术中出血量、胃肠功能恢复时间、疼痛持续时间、住院时间均显著优于对照组(P<0.05), 2组手术时间对比,差异无统计学意义(P>0.05); 术后14 d, 研究组谷丙转氨酶(ALT)、谷草转氨酶(AST)、总胆红素(TB)指标水平与对照组比较,差异无统计学意义(P>0.05), 但2组AST、ALT、TB指标水平均显著低于术前(P<0.05); 研究组患者并发症发生率为4.62%, 显著低于对照组47.69%(P<0.05); 研究组患者术后SF-36量表各生活质量评分显著高于对照组(P<0.05)。 结论 采用腹腔镜再次胆道手术治疗胆总管结石患者临床效果显著,具有安全性高、患者创伤小、术后恢复快、并发症少等优点,可显著提高患者生活质量。
    Abstract: Objective To explore the effect of laparoscopic secondary surgery for biliary tract on clinical efficiency and quality of life in patients with choledocholithiasis. Methods A total of choledocholithiasis 130 cases with laparoscopic secondary surgery for biliary tract were selected and randomly divided into control group and research group, with 65 cases in each group. The control group and research group was treated by laparotomy and laparoscopic surgery respectively. Clinical effect and quality of life score were compared between two groups. Results The intraoperative blood loss, recovery time of gastrointestinal function, duration of pain and hospital stay in the research group were significantly better than those in the control group(P<0.05), and there was no significant difference in operation time between the two groups(P>0.05). On the 14th day after operation, there were no significant differences in the levels of alanine aminotransferase(ALT), aspartate aminotransferase(AST)and total bilirubin(TB)between the two groups(P>0.05), but the levels of AST, ALT and TB in both groups were significantly lower than those before operation(P<0.05). The incidence rate of complications in the research group was 4.62%, which was significantly lower than 47.69% in the control group(P<0.05). The scores of items in SF-36 in the research group were significantly higher than those in the control group(P<0.05). Conclusion Laparoscopic reoperation is effective in treatment of patients with choledocholithiasis, which has the advantages of high safety, small trauma, quick recovery and fewer complications, and it can significantly improve the quality of life of patients.
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    • 参考文献(15)
  • 王欣, 吴全, 刘亚奇, 等. 腹腔镜联合胆道镜胆管探查取石术治疗胆管结石效果观察及对炎性因子的影响[J]. 临床误诊误治, 2019, 32(1): 62-66.
    赵加泉, 王亮, 吕纯业. 腹腔镜下胆总管切开取石术与开腹手术的临床比较[J]. 实用临床医药杂志, 2015, 19(19): 101-103.

    Iida T, Kaneto H, Wagatsuma K, et al. Efficacy and safety of endoscopic procedures for common bile duct stones in patients aged 85 years or older: a retrospective study[J]. PLoS One, 2018, 13(1): e0190665.
    郝余庆, 蒋徐维, 丁俊. 三种手术方案治疗胆囊结石并胆总管结石的疗效及对血清GGT ALP的影响[J]. 河北医学, 2019, 25(1): 9-13.
    陈华. 腹腔镜胆管癌根治术的临床疗效及对患者应激反应和生活质量的影响[J]. 中国普通外科杂志, 2018, 27(8): 1072-1076.
    胡磊, 侯亚峰. 腹腔镜联合胆道镜经胆囊管胆总管取石的应用进展[J]. 肝胆胰外科杂志, 2019, 31(2): 125-129.

    Czerwonko M E, Pekolj J, Uad P, et al. Laparoscopic transcystic common bile duct exploration in the emergency is as effective and safe as in elective setting[J]. J Gastrointest Surg, 2019, 23(9): 1848-1855.
    欧新强, 毛伯能, 张楷. 腹腔镜联合内镜治疗胆总管复发性结石的临床研究[J]. 实用临床医药杂志, 2017, 21(7): 107-109.
    钱利强, 苏浩渊, 王刚, 等. 胆道手术史患者胆总管结石再行腹腔镜胆道手术42例[J]. 中国现代普通外科进展, 2018, 21(3): 209-211.
    李得福. 置入鼻胆管行引流治疗后经腹腔镜治疗有胆道手术史的胆总管结石患者再行胆总管一期缝合术的安全性及可行性分析[J]. 河北医学, 2018, 24(7): 1148-1152.
    陈武, 张曙光, 刘建通. 腹腔镜胆囊切除胆道探查术与传统开腹手术治疗胆囊结石合并胆总管结石的临床效果[J]. 检验医学与临床, 2018, 15(11): 1654-1658.

    Wang C G, Jiang Q S, Zhu N H, et al. Effect of fast track surgery on clinical efficacy of laparoscopic common bile duct exploration combined with choledochoscopy[J]. World Chin J Dig, 2017, 25(12): 1083.
    李恩忠, 谢福生, 张倩, 等. 腹腔镜手术对胆囊结石合并胆总管结石患者的临床作用[J]. 河北医学, 2018, 24(8): 1362-1365.
    蒋剑. 腹腔镜联合十二指肠镜治疗胆结石合并胆总管结石的疗效观察[J]. 实用临床医药杂志, 2012, 16(21): 42-44.
    王博林, 王塬, 齐亚刚, 等. 两种双镜联合微创术式治疗胆总管结石的临床对比研究[J]. 腹腔镜外科杂志, 2019, 24(4): 285-288.
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  • 收稿日期:  2019-11-14

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