腹腔镜胆囊切除术治疗108例结石性胆囊炎疗效探讨.docVIP

腹腔镜胆囊切除术治疗108例结石性胆囊炎疗效探讨 　　[摘要] 目的 探讨腹腔镜胆囊切除术（LC）治疗结石性胆囊炎的疗效。 方法 整群选取2013年5月―2015年5月该院收治的216例结石性胆囊炎患者随机平均分为研究组与对照组。研究组采用LC手术方案，对照组实施常规开腹胆囊切除术。 结果 研究组手术时间、术中出血量、胃肠道恢复时间及住院时间均低于对照组（P0.05）。研究组术后并发症发生率为2.27%，显著低于对照组的18.18%（P0.05）。 结论 LC治疗结石性胆囊炎可以有效减少手术时间、术中出血量，加快胃肠道恢复速度，缩短住院时间，降低并发症概率。 　　[关键词] 腹腔镜胆囊切除术；结石性胆囊炎；疗效 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）02（c）-0054-02 　　Study on Curative Effect of Laparoscopic Cholecystectomy in Treatment of 108 Cases with Calculous Cholecystitis 　　YAN Ling 　　Second Department of General Surgery， Anyang District Hospital， Anyang， Henan Province， 455000 China 　　[Abstract] Objective To study the curative effect of laparoscopic cholecystectomy（LC）in treatment of 108 cases with calculous cholecystitis. Methods 216 cases of patients with calculous cholecystitis admitted and treated in our hospital from May 2013 to May 2015 were divided into two groups with 108 cases in each， the research group were treated with LC operative plan， the control group were treated with conventional open cholecystectomy. Results The operation time， intraoperative blood loss， recovery time of gastrointestinal tract and length of stay in the research group were lower than those in the control group（P0.05）， the incidence of postoperative complications in the research group was obviously lower than that in the control group（2.27% vs 18.18%）（P0.05）. Conclusion LC in treatment of calculous cholecystitis can effectively reduce the operation time and intraoperative blood loss， accelerate the recovery rate of gastrointestinal tract， shorten the length of stay and reduce the probability of complications. 　　[Key words] Laparoscopic cholecystectomy； Calculous cholecystitis； Curative effect 　　结石性胆囊炎是指胆囊颈部或胆囊内发生结石的一种疾病，临床表现主要与结石大小、部位、是否合并、梗阻及梗阻程度、部位有关。目前，手术胆囊切除术是治疗结石性胆囊炎的主要方法。近年来，随着微创技术的发展与完善，腹腔镜胆囊切除术（LC）也在胆囊疾病的临床中得到了广泛的应用。然而，部分研究对于LC治疗结石性胆囊炎的疗效仍有所质疑[1-2]。为此，该研究整群选择2013年5月―2015年5月期间收治的216例结石性胆囊炎患者作为研究对象，对其LC手术与开腹手术资料进行分析，旨在对比两种方法的疗效与安全性，现报道如下。 　　1 资料与方法 　　1.1 一般资