腹腔镜胆囊切防术与开腹胆囊切除治疗结石性胆囊炎的效果对比.docVIP

精品论文 参考文献 腹腔镜胆囊切防术与开腹胆囊切除治疗结石性胆囊炎的效果对比 徐红生 云南省曲靖市陆良县人民医院普外科 655600 【摘 要】目的：探讨腹腔镜胆囊切防术与开腹胆囊切除治疗结石性胆囊炎的疗效差异。方法：将2014年4月至2015年11月于我院确诊为结石性胆囊炎，并行手术治疗的283例患者纳入研究并进行随机分组，观察组241例采用腹腔镜胆囊切除治疗，对照组42例患者则采用传统开腹胆囊切除治疗，比较两组患者治疗效果及并发症情况。结果：观察组手术时间、住院时间、术后下床时间、术中出血量、术后排气时间均更少，差异显著，Plt;0.05；对照组中10例患者出现各类并发症，总发生率23.81%，观察组则仅出现3例，总发生率4.98%，低于对照组，差异显著，Plt;0.05。结论：与开腹胆囊切除术相比，腹腔镜切除术治疗创伤更小，术后恢复快，且并发症发生率更低，若经济及医疗设备允许可作为首选治疗方案。 【关键词】腹腔镜胆囊切防术；开腹胆囊切除；结石性胆囊炎；效果 [Abstract]：Objective：laparoscopic gallbladder anti cutting operation and open cholecystectomy resection for the treatment of the differences in the efficacy of calculous cholecystitis.Methods：November April 2014 to 2015 years diagnosed in our hospital for calculous cholecystitis，parallel surgical treatment of 283 cases were included in the study and were randomly divided into group，observation group of 241 cases of laparoscopic cholecystectomy in the treatment，control group of 42 patients is used traditional sigmoidectomy cystic resection in the treatment of，compared two groups of treatment effect and complications were observed.Results：the operation time of the observation group，hospitalization time，postoperative ambulation time，intraoperative bleeding volume，postoperative exhaust time were less，the difference was significant，P lt; 0.05；the control group 10 cases of patients had various kinds of complications，the total incidence rate is 23.81%，the observation group only appeared in 3 cases，the total incidence of 4.98%，lower than that of the control group，the significant difference.Conclusion Plt;0.05.：and open cholecystectomy resection surgery compared，laparoscopic surgery in the treatment of less trauma，postoperative recovery fast，and the complication rate is lower，if economic and medical equipment allows can be used as the preferred treatment. [Key words]：laparoscopic cholecystectomy；open cholecystectomy；calculus cholecystitis；effect 近年来由于饮食结构的变化，我国胆囊结石发病率呈现抬高趋势，根据病位不同，可分为胆囊结石、胆总管结石、肝内或肝外胆管结石。作为胆道系统中最常见的病变，结石性胆囊炎是由于胆囊内或胆囊