腹腔镜下微创碎石术治疗肝胆结石的疗效观察

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Abstract Objective To explore the clinical effect of laparoscopic minimally invasive lithotripsy in the treatment for liver and gallbladder stones.M ethods 140 patients with liver and gallbladder stones from October 2013 to November 2015 in our hospital were selected and randomly divided into the abdominal group and the routine group，70 cases in each group.The routine group was given open lithotripsy treatment，the abdominal group was given laparoscopicminimally invasive lithotripsy treatment.The visual analogue scale（VAS）was used to assess the degree of pain，the length of hospital stay，surgery time，the time of T tube pulled out，intestinal function recovery time，intraoperative bleeding volume，the incidence rate of postoperative stones from the net and complication incidence，the pain situation before operation，1 day after operation，3 days after operation，5 days after operation in the two groupswas statistical analyzed.Results The length of hospital stay and recovery time of bowel function in the abdominal group was shorter than that in the routine group，the amount of blood loss in the abdominal group was less than that in the routine group，with significant difference（P＜0.05）.The T tube extubation time in the abdominal group was longer than that in the routine group，with significant difference（P＜0.05）.The VAS score after operation for 1，3，5 days in the abdominal group was lower than that in the conventional group，with significant difference（P＜0.05）.The rate of stone net in the abdominal group was higher than that in the routine group，with significant difference（P＜0.05）.The incidence rate of complication and reoperation rate in the abdominal group wasy lower than that in the routine group，with significant difference（P＜0.05）.Conclusion Laparoscopic minimally invasive lithotripsy treatment can effectively reduce the stones in patients with liver and gallbladder stones in the process ofwound，it can reduce the pain of patients，promote patients recovery and reduce complications，it has better curative effect and security，which isworthy of clinical promotion and application.

Key words： Laparoscopicminimally invasive lithotripsy Liver and gallbladder stones Curative safety

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HUANG Shi-dong. Observation of the curative effect of laparoscopic m inimally invasive lithotripsy in the treatment of liver and gallbladder stones[J]. 中国当代医药, 2016, 23(21): 46-49.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I21/46

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