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目的分析腹腔镜手术治疗肝硬化合并胆囊结石的临床疗效。方法选取93例肝硬化合并胆系结石患者根据手术方式分为观察组(n=48)和对照组(n=45),观察组行腹腔镜手术,对照组行开腹手术,对比2组患者的手术治疗效果。结果观察组组患者手术时间、术中出血量、住院时间分别为(52.8±5.3)min、(72.4±25.6)m L、(5.0±1.8)d;对照组则分别为(85.8±6.7)min、(167.9±41.5)m L、(10.6±2.4)d;观察组均明显优于对照组(P<0.05);观察组患者术后7d TBIL、ALT、PT水平分别为(16.4±7.1)μmo L/L、(37.4±6.0)U/L、(15.0±4.5)s;对照组则分别为(19.8±6.8)μmo L/L、(47.9±12.3)U/L、(15.2±3.6)s;观察组术后7d TBIL、ALT水平显著低于对照组,差异具有统计学意义(P<0.05),PT水平差异无统计学意义;观察组患者术后并发症发生率为2.1%,对照组为17.8%,2组术后并发症发生率对比,差异具有统计学意义(P<0.05)。结论腹腔镜手术治疗肝硬化合并胆系结石效果显著,可促进患者较快康复,应用价值确切。
Objective To analyze the clinical effect of laparoscopic surgery for cirrhosis with gallstone. Methods Ninety-three patients with cirrhosis and gallstones were divided into observation group (n = 48) and control group (n = 45) according to the operation method. The observation group underwent laparoscopic surgery and the control group underwent laparotomy. Surgical treatment effect. Results The operation time, intraoperative blood loss and hospital stay in the observation group were (52.8 ± 5.3) min and (72.4 ± 25.6) m L and (5.0 ± 1.8) d, respectively, while those in the control group were (85.8 ± 6.7) min , (167.9 ± 41.5) m L and (10.6 ± 2.4) d, respectively. The observation group was significantly better than the control group (P <0.05). The levels of TBIL, ALT and PT in the observation group were (16.4 ± 7.1) μmo (37.4 ± 6.0) U / L and (15.0 ± 4.5) s in the control group and (19.8 ± 6.8) μmo L / L and (47.9 ± 12.3) U / L in the control group ; The levels of TBIL and ALT in the observation group were significantly lower than those in the control group on the 7th day after operation (P <0.05), while there was no significant difference in the PT level between the two groups. The incidence of postoperative complications in the observation group was 2.1% (17.8%). The incidence of postoperative complications in the two groups was statistically significant (P <0.05). Conclusion Laparoscopic surgery for the treatment of liver cirrhosis with gallstones significant effect, can promote faster recovery of patients, the exact value.