腹腔镜与小切口手术切除胆囊治疗胆结石临床效果对比.docVIP

腹腔镜与小切口手术切除胆囊治疗胆结石临床效果对比 　　doi：10.3969/j.issn.1007-614x.2014.3.23 　　摘 要 目的：对比腹腔镜与小切口手术切除胆囊治疗胆结石临床效果。方法：收治胆结石患者250例，随机分为治疗组和对照组，每组125例，治疗组行腹腔镜胆囊切除，对照组行小切口手术切除胆囊，对比分析两组手术时间、肠胃功能恢复时间、手术后住院总时间以及并发症等指标。结果：治疗组手术时间、手术中出血量、手术后肠胃功能恢复时间、下床活动时间以及手术后住院时间等方面显著优于对照组（P0.05），但是对照组总花费比治疗组稍少。结论：对胆结石患者进行腹腔镜胆囊切除手术具有创伤较小、出血量少、手术后患者康复时间短等，临床效果显著。 　　关键词 腹腔镜胆囊切除 小切口胆囊切除 胆结石 　　Clinical effect comparison of Laparoscopic operation and small incision cholecystectomy in treating gallstone 　　Li Baohong 　　Department of general surgery，Linzhou peoples Hospital Henan Province，456550 　　Abstract Objective：comparison the clinical effect of laparoscopic and small incision operation resection of gallbladder in treating gallstone.Methods：From June 2012 to 2012 December，250 cases of gallstone patients were randomly divided into treatment group and control group，125 cases in each group，the treatment group underwent laparoscopic cholecystectomy，the control group underwent small incision operation cholecystectomy，comparative analysis of two groups of operation time，recovery time of gastrointestinal function after operation，hospitalization time and complications.Results：In treatment group，operation time，bleeding volume in operation，gastrointestinal function recovery time after the operation，ambulation time and hospital time after operation were significantly better than the control group（P0.05），but the control group total cost slightly less than the treatment group.Conclusion：Patients with laparoscopic cholecystectomy for gallstones operation with less trauma，less bleeding，short rehabilitation time after operation，a significant clinical effect，is worth the clinical promoted. 　　Key words Laparoscopic cholecystectomy；Small incision cholecystectomy；Gallstones 　　资料与方法 　　2012年6月-2012年12月收治胆结石患者250例，所有患者都具有右上腹反复疼痛的症状，并且都经过两次以上B超检查，最后确诊为胆囊炎伴胆结石，将肝内胆管结石和胆管恶性肿瘤等病情进行排除。患者分为治疗组和对照组，每组125例。治疗组男50例，女75例，年龄25～76岁，平均45.63.6岁，50岁以上64例。对照组男52例，女73例，年龄24～76岁，平均44.53.8岁，50岁以上60例。两组在年龄、性别、病情等方面差异无统计学意义（P0.05），有可比性。