单孔法腹腔镜技术在胆囊切除术中临床研究.docVIP

单孔法腹腔镜技术在胆囊切除术中临床研究 　　[摘要] 目的 探讨单孔法腹腔镜胆囊切除术治疗良性胆囊疾病的临床疗效和安全性。 方法 将80例进行胆囊切除术治疗的患者采用随机数字的方法分为观察组和对照组各40例，观察组采用单孔法，对照组采用三孔法，比较两组患者手术时间、术中出血量、术中副损伤、中转开腹、术后疼痛、术后下床活动时间、术后肠功能恢复时间、住院时间、术后并发症和对切口的满意度等。 结果 两组患者均未发生术中副损伤、术后并发症及中转开腹；两组在手术时间、术中出血量和术后住院时间方面比较，差异均无统计学意义（P0.05）；但是观察组患者术后疼痛程度、下床活动时间、肠功能恢复时间和对切口的满意度均优于对照组，差异有统计学意义（P0.05）。 结论 单孔法腹腔镜胆囊切除术治疗良性胆囊疾病能最大程度地体现手术的微创、减轻疼痛，促进患者术后康复，满足患者对美的要求，安全性高，值得临床推广应用。 　　[关键词] 胆囊切除术；腹腔镜；单孔法；三孔法 　　[中图分类号] R657.4 [文献标识码] B [文章编号] 1673-9701（2016）21-0039-03 　　[Abstract] Objective To discuss the clinical efficacy and safety of single-hole laparoscopic cholecystectomy in treatment of benign gallbladder diseases. Methods A total of 80 patients were randomly and equally divided into observation group and control group， each of 40 cases. Patients in the observation group were given single-hole laparoscopy， and those in the control group were given three-hole laparoscopy. The operation duration， blood loss， side injury， conversion to laparotomy， postoperation pain， time to leave bed， recovery time of bowel movement， hospital stay， postoperative complications， and satisfaction towards incision were compared between two groups. Results No side injury， conversion to laparotomy， and postoperative complication was observed in two groups. There were no significant differences in operation duration， blood loss， and hospital stay between two groups（P0.05）. The postoperation pain， time to leave bed， recovery time of bowel movement， and satisfaction towards incision in the observation group were significantly superior to those in the control group （P0.05）. Conclusion Application of single-hole laparoscopic cholecystectomy in treatment of benign gallbladder diseases can maximize the advantages of minimal invasiveness， pain alleviation， and promotion of postoperative rehabilitation， with high satisfaction and safety， thus is worthy to be promoted. 　　[Key words] Cholecystectomy； Laparoscopy； Single-hole method； Three holes method 　　自1987年法国人Mourettx首次采取腹