腹腔镜胆囊切除术对胆结石治疗效果探析.docVIP

腹腔镜胆囊切除术对胆结石治疗效果探析 　　[摘要] 目的 探究腹腔镜下胆囊切除术在胆结石临床治疗中应用情况。方法 整群选择该院2012年1月―2015年12月收治的127例胆结石患者，所有患者均给予腹腔镜胆囊切除术治疗，观察患者的术中出血量、手术时间及术后肛门排气时手术情况、住院天数、手术治疗效果、并发症及复发情况。结果 127例患者术中平均出血量（61.85±10.47）mL，手术平均时间（47.03±8.24）min，肛门排气时间（10.52±2.14）h，平均住院天数（5.50±2.18）d；127例显效98例，有效17例，无效12例，总有效率90.55%，127例患者有6例患者有不同程度的并发症发生，并发症发病率4.72%，经医护人员处理后并发症均得到有效控制。结论 腹腔镜胆囊切除术治疗胆结石疗效确切，有效缩短患者的肛门排气时间和住院时间，减少术中出血量，提高患者的临床治疗效果，并发症发病率低，创面小、不对周围组织造成损伤、安全性高，结石清除彻底，值得在临床上推广应用 [关键词] 腹腔镜；胆囊切除术；胆结石；治疗效果 [中图分类号] R657 [文?I标识码] A [文章编号] 1674-0742（2016）11（c）-0052-03 [Abstract] Objective To explore the laparoscopic cholecystectomy in the treatment of gallstones clinical application. Methods Group selection hospital in January 2012 to December 2015 were treated 127 cases of gallstone patients， all patients were treated with laparoscopic cholecystectomy was observed in patients with blood loss， operative time and postoperative flatus time surgery， the number of days of hospitalization， surgical treatment， complications and recurrence. Results 127 cases of patients with mean blood volume （61.85 ± 10.47）mL， average operation time was （47.03 ± 8.24）min， flatus（10.52±2.14）h， average length of stay （5.50 ± 2.18）d； 127 cases 98 cases markedly effective in 17 cases， 12 cases， the total efficiency of 90.55% of 127 patients， 6 patients had varying degrees of complications， complication rate 4.72%， after medical treatment of complications have been effectively control. Conclusion Laparoscopic cholecystectomy gallstone treatment efficacy， shorten flatus and hospital stay of patients and reduce blood loss and improve the clinical treatment of patients， low incidence of complications， the wound is small， not the surrounding tissue damage， safe， complete stone clearance， worthy of clinical application. [Key words] Laparoscopic；Cholecystectomy； Gallstones； Treatment effect 胆结石是临床普外科较为常见的疾病，可发生于任何年龄，患者临床主要表现为不同程度的饱胀不适、上腹痛、胆囊积液等[1]。胆结石临床并发症发病率较高，患者未得到及时治疗，化脓性胆管炎、胆汁性肝硬变等并发症，对患者的生命健康造成严重威胁[2]。临床有研究指出[3]，腹腔镜微创切胆囊具有对患