应用腹腔镜胆囊切除术治疗慢性胆囊炎并发胆结石的临床疗效观察.docVIP

应用腹腔镜胆囊切除术治疗慢性胆囊炎并发胆结石的临床疗效观察 　　[摘要] 目的 观察和探讨应用腹腔镜胆囊切除术治疗慢性胆囊炎并发胆结石的临床疗效观察。 方法 选择2013年6月～2014年6月我院收治的治疗慢性胆囊炎并发胆结石患者64例，经患者知情同意，分为观察组和对照组，每组32例患者。对照组采取传统开腹手术治疗，观察组采取腹腔镜下全胆囊切除术，观察比较两组患者的手术时间，术中出血量，术后腹痛时间，住院时间以及并发症的发生率。 结果 观察组的手术时间为（62.80±12.25）min，术中出血量为（38.50±6.35）mL，术后腹痛时间为（49.60±5.15）min，住院时间为（4.3±1.5）d；对照组的手术时间为（90.30±13.46）min，术中出血量为（80.20±6.62）mL，术后腹痛时间为（78.30±6.26）min，住院时间为（9.2±1.6）d，观察组的手术时间，术中出血量，术后腹痛时间，住院时间显著优于对照组，差异有统计学意义（P0.05）。观察组患者胃肠功能恢复时间、术后下床活动时间均显著低于对照组，差异有统计学意义（P0.05）。观察组的并发症总发生率为3.13%，对照组为18.75%，观察组显著优于对照组，两组比较差异有统计学意义（P0.05）。 结论 应用腹腔镜胆囊切除术治疗慢性胆囊炎并发胆结石的治疗效果显著，不良反应少，值得临床推广应用。 　　[关键词] 腹腔镜；胆囊切除术；慢性胆囊炎并发胆结石；临床疗效 　　[中图分类号] R657.4 [文献标识码] B [文章编号] 2095-0616（2015）14-126-03 　　Study on the clinical efficacy of application of laparoscopic cholecystectomy in the treatment of chronic cholecystitis complicated with gallstones 　　LI Fawen TAO Xuxiong 　　Department of General Surgery， Peoples Hospital of Zijin， Zijin 517400， China 　　[Abstract] Objective To investigate and study the clinical efficacy of laparoscopic cholecystectomy in the treatment of chronic cholecystitis complicated with gallstones. Methods We selected 64 cases of patients who were treated for chronic cholecystitis complicated with gallstones from 2013 June to 2014 June in our hospital as the reseach subjects， they were divided into two groups according to patients consent， the observation group and the control group， each group has 32 cases. The control group adopted the traditional open operation， while the observation group adopt total laparoscopic cholecystectomy， the operation time， the amount of bleeding in operation， postoperative pain time， hospitalization time and incidence of complications of the two groups were compared. Results For the observation group： the operation time was （62.80±12.25）min， the amount of hemorrhage was （38.50±6.35）mL， postoperative pain time wass （49.60±5.15）min， the time of hospitalization was （4.3±1.5）d； for the control group： the operation time was （90