三孔法腹腔镜胆囊切除术与传统开腹胆囊切除术临床疗效比较.docVIP

三孔法腹腔镜胆囊切除术与传统开腹胆囊切除术临床疗效比较 　　[摘要] 目的：观察三孔法腹腔镜胆囊切除术的手术疗效及安全性，并与传统开腹胆囊切除术的临床疗效作比较，旨在为临床治疗胆囊疾病提供进一步的指导依据。方法：选择我院外科2008年1月～2010年1月住院的接受胆囊切除术的76例患者，根据手术方法的不同随机分为A组（三孔法腹腔镜胆囊切除术）和B组（传统开腹胆囊切除术）各38例，观察比较两组平均切口长度、平均手术时间、术中平均出血量、平均住院时间及术后并发症（切口感染、切口出血、胆漏、放射痛、胆管损伤）情况。结果：76例患者中行三孔法腹腔镜胆囊切除术组38例术后2～6 d出院，无死亡病例。其中A组平均切口长度、平均手术时间、术中平均出血量、平均住院时间均明显短于B组（P＜0.05）；A组发生并发症如切口感染、切口出血、胆漏、放射痛的发生率明显低于B组，两组比较差异有统计学意义（P＜0.05）。结论：三孔法腹腔镜胆囊切除术治疗胆囊外科疾病手术用时少，术中出血量少，发生切口出血、感染、胆漏等并发症少于传统手术组，且对患者创伤小，患者痛苦少，适合基层医院广泛推广和应用。 　　[关键词] 三孔法腹腔镜胆囊切除术 传统开腹胆囊切除术 并发症 　　[中图分类号] R657.4[文献标识码]Ａ [文章编号]1673-7210（2011）02（c）-035-03 　　Comparison of the clinical efficacy between laparoscopic cholecystectomy with three holes and traditional open cholecystectomy 　　LIANG Jinlong, FENG Jinfa, YANG Yong, MA Chunlei, LI Xin 　　(General Surgery Department, Nangang branch of Heilongjiang Province Hospital, Harbin 150001, China) 　　[Abstract] Objective: To observe and compare the efficacy and safety of surgery between laparoscopic cholecystectomy with three holes and conventional open cholecystectomy, and forproviding further guidance basis. Methods: 76 cases with cholecystectomy patients from January 2008 to January 2010 in our hospital were divided into A group (laparoscopic cholecystectomy with three holes) and B group (traditional open cholecystectomy), each 38 cases, according to the different surgical methods, and ovserved and compared the average incision length, the average operation time, mean blood loss, average length of stay and complications (wound infection, wound bleeding, bile leakage, radiating pain, bile duct injury). Results: 38 patients applied laparoscopic cholecystectomy with three holes were discharged after 2-6 d, no death. And the average length of incision, the average operation time, mean blood loss, average stay of A group were significantly shorter than those of B group (P＜0.05). The complications such as wound infection, wound bleeding, bile leakage, radiating pain of A group were significantly lo