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腹腔镜与开腹胆囊切除术临床疗效对比观察 被引量:15

Comparative Study of Clinical Effectt between Laparoscopic Cholecystectomy and Open Cholecystectomy
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摘要 目的:分析比较腹腔镜胆囊切除术(LC)与开腹胆囊切术(OC)的临床效果、术后恢复情况。方法:回顾性分析2009年9月至2011年3月在我科行胆囊切除术的患者216例,按照手术方式分为LC组118例,OC组98例,比较两组患者术中情况、术后恢复、术后并发症以及住院时间费用等,探讨两种治疗方式的临床效果。结果:经比较,LC组术中及术后并发症明显少于OC组患者,具有统计学意义;LC组患者切口长度明显短于OC组患者(P<0.05),具有统计学意义;LC组术后住院时间及术后进食时间明显短于OC组(P<0.05),具有统计学意义;结论:LC能够取得OC类似的临床疗效,并且创伤小,术后并发症少,恢复快住院时间短,其医疗费用稍低,值得临床推广应用。 Objective: Clinical effect comparison was made between laparoscopic cholecystectomy and open cholecystectomy, security and recovery after surgery. Method: In our trial,216 patients were made retrospectively study. 118 patients were selected underwent laparoscopic choleeystectomy ( LC team) and 98 patients were selected underwent open choleeystectomy (OC team). Comparison was made in hospitalization days and cost, incidences of intra-operative and postoperative complications, recovery after surgery. Result: LC group had less incidences of intra-operative and postoperative complications than OC group ( P〈0.05 ) ; LC group also show less recovery of gastroentestinal function time and hospitalization days than OC group ( P〈 0.05 ) ; While LC team operative incision length was shorter than OC team( P〈0.05 ) , and all these differences has statistical significance. Conclusion: Compared to open cholecysteetomy, Iaparoscopic cholecystectomy results in same operation benefit, minimal trauma, less incidences of intra-operative and postoperative complications, shorter hospitalization days and less cost, so it should be widely used.
作者 秦胜利
出处 《河北医学》 CAS 2012年第6期772-775,共4页 Hebei Medicine
关键词 胆囊切除术 腹腔镜 疗效对比 Cholecystectomy laparoscopy Cholecystectomy Comparison of effect
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