三孔法腹腔镜胆囊切除术与传统开腹胆囊切除术的临床效果分析.docVIP

三孔法腹腔镜胆囊切除术与传统开腹胆囊切除术的临床效果分析 　　doi：10.3969/j.issn.1007-614x.2014.16.53 　　摘 要 目的：探讨三孔法腹腔镜胆囊切除术与传统开腹胆囊切除术的临床疗效。方法：2013年1月-12月收治胆囊切除患者98例，按照术式的不同分为两组，观察组43例采用三孔法腹腔镜胆囊切除术，对照组55例采用传统开腹胆囊切除术，比较两组术中、术后情况和并发症情况。结果：观察组手术切口平均1.84±0.14cm，手术时间平均69.53±3.62分钟，术中出血量平均35.16±15.11ml，术后离床时间平均3.25±0.16小时，切口愈合时间平均5.28±1.34天，疼痛程度2.08±1.13分，住院时间平均2.34±0.14天，并发症率6.98%，均优于对照组，差异有统计学意义。结论：三孔法腹腔镜胆囊切除术用时少、切口短、出血量少、疼痛程度低、愈合快、并发症少，优于传统开腹胆囊切除术，值得推广应用。 　　关键词 三孔法腹腔镜胆囊切除术 传统开腹胆囊切除术 临床效果 　　Analysis of the clinical effect of laparoscopic cholecystectomy three hole method and conventional cholecystectomy 　　Yan Yulong 　　The Third Department of Surgery，the Peoples Hospital of Feixi County，Anhui 231200 　　Abstract Objective：To explore the clinical effect of laparoscopic cholecystectomy three hole method and conventional cholecystectomy.Methods：98 cases with cholecystectomy were selected from January 2013 to December 2013.They were divided into two groups according to the different operation style.43 cases of the observation group were treated with laparoscopic cholecystectomy three hole method.55 cases of the control group were treated with conventional cholecystectomy.The intranperative conditions，postoperative conditions and complications of two groups were compared.Results：The average operation incision of the observation group was 1.84±0.14cm.The average operation time was 69.53±3.62 minutes.The average amount of bleeding was 35.16±15.11ml.The average postoperative getting out of bed time was 3.25±0.16 hours.The average wound healing time was 5.28±1.34 days.The pain degree was 2.08±1.13.The average hospitalization time was 2.34±0.14 days.The complications rate was 6.98%.Compared with the control group.The observation group was better than the control group.The difference was statistically significant.Conclusion：The laparoscopic cholecystectomy three hole method has less time，short incision，less bleeding，less pain，faster healing，fewer complications.It is superior to the conventional cholecys