肝胆外科患者应用腹腔镜手术治疗效果探讨.docVIP

肝胆外科患者应用腹腔镜手术治疗效果探讨 　　[摘要]目的 探讨肝胆外科患者应用腹腔镜手术治疗的效果。方法 选取2015年7月～2017年7月我院接诊的78例肝胆外科患者，采用随机数字表法分为两组，各39例。其中对照组给予常规开腹手术治疗，研究组应用腹腔镜手术治疗。比较两组患者的治疗效果。结果 研究组的治疗总有效率和满意率均明显高于对照组，镇痛药物使用率明显低于对照组，差异有统计学意义（P0.01）。研究组的手术切口长度明显小于对照组，术中出血量明显少于对照组，手术时间、下床活动时间、平均住院时间均短于对照组，差异有统计学意义（P0.01）。两组患者均出现不同程度的腹胀、伤口出血、伤口感染及胆瘘等术后并发症，研究组患者的术后总并发症发生率为7.69%，明显低于对照组的25.64%，差异有统计学意义（P0.05）。结论 腹腔镜手术应用于肝胆外科患者可明显提高临床疗效，降低镇??药物使用率，??化手术各项指标，降低患者术后总并发症发生率，值得临床广泛应用。 　　[关键词]肝胆外科；腹腔镜手术；治疗效果 　　[中图分类号] R575 [文献标识码] A [文章编号] 1674-4721（2017）10（b）-0040-03 　　[Abstract]Objective To explore the effect of laparoscopic surgery applied for patients in department of hepatobiliary surgery.Methods From July 2015 to July 2017，78 patients in department of hepatobiliary surgery treated in our hospital were selected and they were divided into the two groups according to the random number table method，and there were 39 cases in each group.The control group was treated with conventional laparotomy，and the study group was treated with laparoscopic surgery.The therapeutic effect between the two groups was compared.Results The total effective rate and satisfaction rate of the study group were significantly higher than those of the control group，and the use rate of analgesic drugs was lower than that of the control group，and the difference was statistically significant （P0.01）.The incision length of the study group was significantly less than the control group，the bleeding amount during operation was significantly less than the control group，operation time，ambulation time and average hospitalization time were shorter than those of the control group，and the difference was statistically significant （P0.01）.The complications of varying degrees of abdominal distention，wound bleeding，wound infection and biliary fistula occurred in the two groups，and the incidence of postoperative total complications in the study group was 7.69%，which was significantly lower than that of the control group （25.64%），and the difference was statistica