不同胆囊切除术对良性胆囊疾病患者预后影响.docVIP

不同胆囊切除术对良性胆囊疾病患者预后的影响 　　[摘要] 目的 探讨单切口腹腔镜胆囊切除术（SILC）对良性胆囊疾病患者预后及并发症的影响。方法 2013年1月―2014年12月方便选取该院收治的120良性胆囊疾病患者为研究对象，根据患者治疗方法将其分为单切口腹腔镜胆囊切除术（SILC，n=60）及传统腹腔镜胆囊切除术组（CLC，n=60），对比分析两组患者手术情况及预后情况。结果 两组患者术中出血量、关腹所需时间差异无统计学意义（P0.05），SILC组手术时间（28.9±3.5） min、术中放置Trocar时间（6.2±0.8）min及术后住院时间（3.8±0.6） d短于CLC组（33.2±5.8） min、（7.8±2.4） min、（6.2±2.4） d，差异有统计学意义（P0.05），术后对两组随访6～12个月，SILC组复发率3.33%低于CLC组21.67%（P0.05），而SILC组满意率96.67%高于CLC组80.00%（P0.05）。 结论 SILC治疗良性胆囊疾病疗效显著，安全性高，患者术后复发率，可提高患者满意度，值得有条件的医院开展。 　　[关键词] 单切口腹腔镜胆囊切除术；传统腹腔镜胆囊切除术；良性胆囊疾病；预后；并发症 　　[中图分类号] R657.4 [文献标识码] A [文章编号] 1674-0742（2016）04（a）-0016-03 　　[Abstract] Objective To discuss the effect of single incision laparoscopic cholecystectomy surgery on prognosis and complications of patients with benign gallbladder disease. Methods 120 cases of patients with benign gallbladder disease admitted and treated in our hospital from January 2013 to December 2014 were selected as the research objects and divided into the single incision laparoscopic cholecystectomy surgery group and the traditional laparoscopic cholecystectomy surgery group with 60 cases in each， the operation situations and prognoses of the two groups were compared and analyzed. Results The differences in the intraoperative blood loss and abdominal closure time between the two groups had no statistical significance（P0.05）， the operation time， intraoperative Trocar standing time and postoperative length of stay in the SILC group were shorter than those in the CLC group， [（28.9±3.5） min， （6.2±0.8） min， （3.8±0.6） d vs （33.2±5.8） min， （7.8±2.4） min， （6.2±2.4） d]， and the differences had statistical significance（P0.05）， both groups were followed up for 6-12 months after operation， and the recurrence rate in the SILC group was lower than that in the CLC group，（3.33% vs 21.67%）（P0.05）， but the satisfactory rate in the SILC group was higher than that in the CLC group，（96.67% vs 80.00%），（P0.05）. Conclusion The curative effect of SILC in treatment of benign gallbladder