腹腔镜胆囊手术与开腹胆囊手术效果对比分析.docVIP

腹腔镜胆囊手术与开腹胆囊手术效果对比分析 　　[摘要]目的 探讨腹腔镜胆囊手术和开腹胆囊手术的治疗效果。方法 抽取普兰店区中心医院2015年3月～2016年5月收治的106例胆囊疾病患者，采取计算机随机分组方法，每组53例。常规组采取开腹胆囊手术进行治疗，实验组采取腹腔镜胆囊手术进行治疗。比较两组的临床效果。结果 实验组的术中出血量明显少于常规组，手术时间、住院时间、胃肠功能恢复时间明显短于常规组（P0.01）；实验组术后肠黏连发生率为3.77%，明显低于常规组的24.53%（P=0.0020）；实验组患者的总并发症发生率为9.43%，明显低于常规组的30.19%（P0.05）。结论 腹腔镜胆囊手术治疗胆囊疾病的效果显著，安全性较高，住院时间短，手术耗时短，并发症少，值得实践推广。 　　[关键词]开腹胆囊手术；腹腔镜；效果 　　[中图分类号] R575.6 [文献标识码] A [文章编号] 1674-4721（2017）10（b）-0033-03 　　[Abstract]Objective To investigate the treating effect of laparoscopic cholecystectomy and open cholecystectomy.Methods 106 patients with gallbladder disease treated in Central Hospital of Pulandian District from March 2015 to May 2016 were selected.Patients were grouped by computer random grouping method，and each group was 53 cases.The routine group was given open cholecystectomy，and the experimental group was given laparoscopic cholecystectomy.The effect between the two groups was compared.Results The bleeding amount during operation in the experimental group were significantly fewer than those of the routine group，operation time，hospitalization time，gastrointestinal function recovery time were significantly shorter than those of the routine group （P0.01）.The incidence of postoperative intestinal adhesion in the experimental group was 3.77%，which was significantly lower than that of the routine group （24.53%） （P=0.0020）.The incidence of total complication in the experimental group was 9.43%，which was significantly lower than that of the routine group （30.19%） （P0.05）.Conclusion The effect of laparoscopic cholecystectomy in the treatment of gallbladder diseases is remarkable，and its safety is more higher，and the hospitalization time and operation time were shorter，and the complications are fewer.It is worthy of practice and popularization. 　　[Key words]Open cholecystectomy；Laparoscope；Effect 　　胆囊疾病主要是因为胆囊受到外界细菌感染、化学性刺激等引发的一类炎性病变，包括胆囊癌、胆囊结石、胆囊炎、胆囊息肉等，存在较高的发病率，治疗后的并发症发生率相对较高，导致患者的身心痛苦增加[1-2]。若不及时进行积极有效的临床干预，患者的身体健康与生命安全将受到严重威胁。目前临床上主要采取