Objective The effect of three-mirror combined with cholecystectomy and bile duct exploration in the treatment of acute obstructive suppurative cholangitis (AOSC). Methods Between March 2014 and March 2016,72 patients with AOSC were randomly divided into observation group and control group. The patients in the observation group were treated with three-mirror combined cholecystectomy and bile duct exploration, while the control group was treated by traditional open cholecystectomy and biliary exploration. The levels of direct bilirubin (DBIL) and alanine aminotransferase(ALT) before and after operation were compared between the two groups. Results One week after surgery,DBIL and ALT levels in the observation group were significantly lower than those in the control group.The amount of blood loss in the observation group was significantly less than that in the control group. The time of anus exhaust and the length of hospital stay were obviously shorter than those in the control group.The incidence of complications in the observation group was significantly lower than that in the control group.There was significant difference between the two groups(P<0.05). Conclusion Three-mirror combined with cholecystectomy and biliary exploratory can significantly reduce surgical trauma, promote the recovery of the disease and reduce postoperative complications in treatment of AOSC.%目的 三镜联合胆囊切除及胆道探查术治疗急性梗阻性化脓性胆管炎(AOSC)的效果.方法 回顾2014年3月至2016年3月诊治的72例AOSC患者,按照手术方式的不同将其分为观察组与对照组,观察组进行的是三镜联合胆囊切除及胆道探查术治疗,对照组采用传统开腹胆囊切除及胆道探查术,比较两组手术前后的直接胆红素(DBIL)和谷丙转氨酶(ALT)水平、术中及术后情况.结果 术后1周,观察组的DBIL和ALT水平显著低于对照组;观察组的术中出血量明显少于对照组,肛门排气时间以及住院时间均明显短于对照组;观察组的并发症发生率显著低于对照组;差异具有统计学意义(P<0.05).结论 三镜联合胆囊切除及胆道探查术治疗AOSC显著减少了手术创伤、促进了病情恢复,减少了术后并发症.
展开▼
