摘要
目的:比较腹腔镜胆囊切除术与小切口开腹胆囊切除术治疗急性结石性胆囊炎的疗效,为临床治疗方法的选择提供依据。方法:368例急性结石性胆囊炎患者随机均分为腹腔镜组和小切口开腹组各134例,比较两组患者相关指标。结果:腹腔镜组患者手术时间与小切口开腹组比较无明显差别(P>0.05);腹腔镜组术中出血量、术后肠功能恢复时间、术后住院时间均低于开腹组(P<0.05);腹腔镜组患者总住院费用高于小切口开腹组(P<0.05)。腹腔镜组术后切口感染发生率为5.97%,明显低于小切口开腹组(18.66%),比较差异具有统计学意义(P<0.05)。结论:腹腔镜胆囊切除术治疗急性胆囊炎术中出血量较少,术后愈合较快,且术后并发症发生率较低,其疗效优于小切口开腹胆囊切除术。
Objective：to compare the clinical curative effect of the laparoscopic laparoscopic cholecystectomy and mini-cholecystectomy treatment for acute calculous cholecystitis, and to provide evidence for the selection of clinical treatment methods. Methods：368 cases of acute calculous cholecystitis patients were selected as the research object, and were divided into laparoscopic cholecystectomy group and mini-cholecystectomy group（each 134 examples） according to the admission sequence random. Then the datas were compared.Results：The operation time in the laparoscopic cholecystectomy group was no obvious difference with mini-cholecystectomy group,there was not statistically significant （P〉0.05）; the intraoperative bleeding amount,the postoperative intestinal function recovery time,the postoperative hospital stay were lower than the mini-cholecystectomy group （P〈0.05）;The total hospitalization expense was higher than the mini-cholecystectomy group （P〈0.05）;the postoperative incision infection of of laparoscopic cholecystectomy group was 5.97%,which was lower than of the mini-cholecystectomy group （P〈0.05）.Conclusion：Of laparoscopic cholecystectomy treatment for acute cholecystitis, the intraoperative bleeding amount is less, the postoperative healing is faster and the incidence rate of postoperative complications were lower,its curative effect is superior than laparotomy mini-cholecystectomy .
出处
《中国医药导刊》
2014年第5期814-814,816,共2页
Chinese Journal of Medicinal Guide
