摘要
目的:观察全腹腔镜与开腹规则性左肝切除术治疗肝胆管结石患者的疗效。方法:选取76例肝胆管结石患者,根据随机数字表法分为观察组和对照组,每组38例。观察组行全腹腔镜规则性左肝切除术,对照组行开腹规则性左肝切除术,比较两组相关临床指标,实验室检查结果,并发症发生率及结石清除率。结果:两组平均手术时间比较,差异无统计学意义(P>0.05);观察组术中出血量少于对照组,术后排气时间、早期进食时间和平均住院天数短于对照组,差异均有统计学意义(P<0.05)。术后3d,观察组白细胞计数和血清C反应蛋白水平均低于对照组(P<0.05);两组丙氨酸氨基转移酶、白蛋白、天冬氨酸氨基转移酶水平比较,差异无统计学的意义(P>0.05)。两组并发症发生率和结石清除率比较,差异无统计学意义(P>0.05)。结论:与开腹规则性左肝切除术治疗肝胆管结石的效果比较,全腹腔镜规则性左肝切除术更具优势。
Objective:To compare effects of total laparoscopy and open regular left hepatectomy in treatment of hepatolithiasis.Methods:76 patients with hepatolithiasis admitted to our hospital were divided into observation group and control group according to different treatment methods,38 cases in each group.The observation group underwent total laparoscopic regular left hepatectomy,while the control group underwent open regular left hepatectomy.The clinical indicators,laboratory results,complication rate and stone clearance rate were compared between the two groups.Results:There was no statistically significant difference in the mean operation time between the two groups(P>0.05).However,the intraoperative blood loss,the postoperative exhaust time,the early feeding time and the average hospital stay in the observation group were shorter than those in the control group(P<0.05).3d after the operation,the white blood cell count and serum c-reactive protein levels in the observation group were lower than those in the control group(P<0.05);however,there were no statistically significant differences in the levels of alanine aminotransferase,albumin and aspartate aminotransferase between the two groups(P>0.05).Further,there were no statistically significant differences between the two groups in the incidence of complications and the stone clearance rate(P>0.05).Conclusions:Compared with the open regular left hepatectomy,the total laparoscopic regular left hepatectomy in the treatment of hepatolithiasis is more superior.
作者
岳大成
胡仕祥
YUE Dacheng;HU Shixiang(The Second Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450002 Henan,China)
出处
《中国民康医学》
2019年第13期7-9,共3页
Medical Journal of Chinese People’s Health
