腹腔镜胆囊切除术治疗胆囊结石的临床效果观察.docVIP

精品论文 参考文献 腹腔镜胆囊切除术治疗胆囊结石的临床效果观察 江苏省常州市第二人民医院普外科 213000 【摘 要】目的 观察腹腔镜胆囊切除术(LC)治疗胆囊结石的临床效果。 方法 选择常州市第二人民医院普外科收治入院的拟行胆囊切除术的40 例胆囊结石患者，随机分为观察组（腹腔镜胆囊切除术组）和对照组（开腹胆囊切除术组），每组20 例。观察两组手术时间、出血量、肠蠕动恢复时间、住院时间、并发症情况。 结果 观察组患者手术平均时间、术中平均出血量与对照组相比，差异有统计学意义(Plt;0．05)；观察组患者术后肠蠕动恢复时间及平均住院时间与对照组相比，差异均有统计学意义(Plt;0．05)。两组均未出现并发症。结论 腹腔镜胆囊切除术治疗胆囊结石的手术方式，具有创伤小、恢复快、住院时间短等优点，在掌握好适应症的基础上，值得临床推广。 【关键词】腹腔镜胆囊切除术；开腹胆囊切除术；胆囊结石 【Abstract 】Objective To observe the clinical effect of laparoscopic cholecystectomy (LC) in the treatment of gallbladderstones.Methods To select 40 cases of patients with gallbladder stones in the second peoples hospital surgery of Changzhou Cityadmitted to the hospital admitted to the hospital，were randomly divided into observation group (laparoscopic cholecystectomy group) andcontrol group (open cholecystectomy group)，20 cases in each group. Observe the operation time，blood loss，recovery time of intestinalperistalsis，hospitalization time and complications of two groups.Results In the observation group，the average time of operation，intraoperative blood loss and the average blood loss compared with the control group，the difference was statistically significant (Plt;0.05)；The observation group of patients with postoperative bowel recovery time and the average hospitalization time compared with the controlgroup，the differences were statistically significant (Plt;0.05).There were no complications in the two groups.Conclusion Laparoscopiccholecystectomy for gallbladder stones with less trauma，quick recovery，short hospitalization，and so on，in a good grasp of the indications，it is worthy of clinical promotion. 【Key words】Laparoscopic cholecystectomy；Open cholecystectomy；Cholecystolithiasis 【中图分类号】R322.4+8【文献标识码】A【文章编号】2096-0867（2015）-09-173-02 胆囊结石是临床上常见疾病，由于解剖结构等方面的原因往往需要手术治疗。近年来，随着腹腔镜技术的发展、器械的改进和医师手术水平的提高，腹腔镜胆囊切除术(1aparoseopiecholecystectomy，LC)在胆囊切除术独特的优点表现得更加明显。常州市第二人民医院普外科对40 例拟行胆囊切除术的胆囊结石患者进行腹腔镜胆囊切除术和开腹胆囊切除术治疗，观察其临床效果，分析两种术式的优