中国医药科学Issue(12):102-104,3.
腹腔镜联合胆道镜钬激光肝胆管碎石56例临床疗效分析
Clinical curative effect analysis of the holmium laser in the treatment of 56 cases of hepatolithiasis through laparoscopy combined with choledochoscope
摘要
Abstract
Objective To explore the clinical curative effect of the holmium laser in the treatment of hepatolithiasis through laparoscopy combined with choledochoscope.Methods112 patients with hepatolithiasis who were admitted to the department of hepatobiliary surgery of our hospital from January 2011 to December 2014 were randomly allocated to control group and observation group that was treated with traditional laparotomy and the holmium laser through laparoscopy combined with choledochoscope respectively. Stone-free effect, duration of operation, intraoperative blood loss, length of stay and occurrence of complications of two groups were compared.Results Calculi residual rate of observation group was 5.36%, which was significantly lower than 19.64% of control group, and the difference was statistically significant (P<0.05). Duration of operation, intraoperative blood loss and length of stay were all shorter and fewer than those of control group, and the differences were statistically significant (P<0.05). The occurrence rate of complication of observation group was 5.36%, which was significantly lower than 17.86% of control group, and the difference was statistically significant (P<0.05).Conclusion The holmium laser in the treatment of hepatolithiasis through laparoscopy combined with choledochoscope has great stone-free effect including shortening duration of operation and length of stay, reducing intraoperative blood loss and lower the occurrence rate of complication, which is worthy of clinical promotion and application.关键词
腹腔镜/胆道镜/钬激光/肝胆管Key words
Laparoscopy/Choledochoscope/Holmium laser/Hepatic biliary duct分类
医药卫生引用本文复制引用
刘国生,蔺晖琦,尹照成,周本涛,杜永强..腹腔镜联合胆道镜钬激光肝胆管碎石56例临床疗效分析[J].中国医药科学,2015,(12):102-104,3.基金项目
广东省东莞市科技局科技计划项目(201210515015122)。 ()