探讨腹腔镜胆囊切除术与微创保胆手术治疗胆囊结石的临床效果.docVIP

精品论文 参考文献 探讨腹腔镜胆囊切除术与微创保胆手术治疗胆囊结石的临床效果 绥棱县人民医院 152200 摘要：目的：对比分析腹腔镜胆囊切除术（LC）与微创保胆手术（MC）在胆囊结石临床中的应用效果。方法：此次研究的对象是选取我院于2012年3月～2013年3月期间收治92例胆囊结石患者，随机将92例患者分为观察组与对照组，每组46例，对照组给予LC治疗，观察组给予MC治疗。结果：观察组患者的手术时间、术中出血、术后排气时间、住院时间、手术费用均明显优于对照组，差异明显，有统计学意义（Plt;0.05）；观察组患者的不良反应发生率为4.35%，明显优于对照组的15.22%，差异明显，有统计学意义（Plt;0.05）。结论：在胆囊结石临床中采用MC治疗，能有效缩短患者的手术时间、排气时间及住院时间，并降低患者的医疗费用及并发症发生率。 关键词：胆囊结石 ；LC； MC Abstract: Objective: To compare the clinical effect of laparoscopic cholecystectomy (LC) and minimally invasive gallbladder preserving surgery (MC) in the treatment of gallbladder stones. Methods: the object of this study was to select 92 cases of patients with gallbladder stones in our hospital from March 2013 to March 2012, 92 patients were randomly divided into observation group and control group, 46 cases in each group, the control group was treated with LC, and the observation group was treated with MC. Results: the operation time, bleeding, postoperative exhaust time, hospitalization time, hospitalization time and cost were significantly better than those in the control group, the difference was statistically significant (Plt;0.05); the incidence of adverse reactions in the observation group was 15.22%, significantly better than the control group, the difference was statistically significant (Plt;0.05). Conclusion: in the clinical use of MC in the treatment of gallbladder stones, can effectively shorten the operation time, exhaust time and hospitalization time, and reduce the medical expenses and the incidence of complications. Key words: gallbladder stone; LC; MC 胆囊结石以成年人发病居多，其发病和多种因素有关。任何能够影响胆固醇与胆汁酸浓度比例改变和造成胆汁淤滞的因素都会引发结石形成。有资料显示，胆囊结石还会和女性激素、肥胖、妊娠、糖尿病、肝硬化等因素有关，可引发胆囊结石。胆囊结石的治疗对于缓解患者疼痛有着重要意义。为了比较腹腔镜胆囊切除术与微创保胆手术的临床应用效果，我院对2012年3月～2013年3月期间收治92例胆囊结石患者进行分组分析，现报道如下。 1 资料与方法 1.1 一般资料。选取我院于2012年3月～2013年3月期间收治92例胆囊结石患者的临床资料，将患者随机分为观察组与对照组，每组46例。其中男性患者35例，女性患者57例，年龄在25～72岁之间，平均年龄为（48.5plusmn;3.5）岁。术前检查发现：单发结石39例，多发结石53例。入选标准：①术前CT检查结果为胆囊结石