二孔法腹腔镜胆囊切除术临床应用.docVIP

二孔法腹腔镜胆囊切除术的临床应用 　　【摘要】 目的 观察临床中应用二孔法腹腔镜胆囊切除术的效果。方法 128例接受腹腔镜胆囊切除术治疗的患者， 随机分为观察组和对照组， 每组64例。观察组采用二孔法， 对照组采用三孔法。观察两组患者手术相关指标及术后并发症发生情况。结果 观察组手术时间为（32.9±6.8）min、术中出血量为（18.5±5.7）ml、术后下床活动时间为（10.6±1.7）h、住院时间为（2.8±0.9）d， 均优于对照组的（44.7±8.1）min、（23.6±6.4）ml、（13.1±1.6）h、（4.4±1.1）d， 差异均具有统计学意义（P0.05）。观察组并发症发生率为3.1%， 低于对照组的14.1%， 差异具有统计学意义（P0.05）。结论 临床中应用二孔法腹腔镜胆囊切除术治疗患者时， 具有良好的手术效果， 术后并发症少， 促进患者尽早痊愈， 可在临床推广。 　　【关键词】 腹腔镜胆囊切除术；二孔法；三孔法；临床应用 　　DOI：10.14163/j.cnki.11-5547/r.2016.34.032 　　Clinical application of two-hole method laparoscopic cholecystectomy CHEN Long， PENG Yi. Department of Gastrointestinal Surgery， Guangdong Province Xinyi City People’s Hospital， Xinyi 525300， China 　　【Abstract】 Objective To observe clinical effect of two-hole method laparoscopic cholecystectomy. Methods A total of 128 patients with laparoscopic cholecystectomy were randomly divided into observation group and control group， with 64 cases in each group. The observation group received two-hole method， and control group received three-hole method. Observation was made on operation related indexes and postoperative complications. Results The observation group had operation time as （32.9±6.8） min， intraoperatve blood loss as （18.5±5.7） ml， postoperative leaving bed time as （10.6±1.7） h， hospital stay as （2.8±0.9） d， which were all better than （44.7±8.1） min， （23.6±6.4） ml， （13.1±1.6） h and （4.4±1.1） d in control group， and differences had statistical significance （P0.05）. The observation goup had a lower incidence of complications as 3.1% than 14.1% in control group， and difference had statistical significance （P0.05）. Conclusion Implement of two-hole method in laparoscopic cholecystectomy patients shows good operation effect， little postoperative complications and early recovery for patients. It is worth clinical promotion. 　　【Key words】 Laparoscopic cholecystectomy； Two-hole method； Three-hole method； Clinical application 　　?R床治疗良性胆囊疾病时， 比较广泛的采用腹腔镜胆囊切除术， 常规手术中采用三孔法， 但手术时间相对较长， 且术后并发症发生率相对较高， 不利