摘要
目的探讨小切口保胆取石术与完全腹腔镜保胆取石术临床疗效。方法将72例接受保胆取石术治疗患者随机分为开放组和腹腔镜组,每组36例。开放组患者接受小切口保胆取石术治疗,腹腔镜组接受完全腹腔镜保胆取石术治疗。应用SPSS 20.0软件包进行数据处理,平均手术时间、术中流血量、切口大小、术后排气时间、住院时间等计量资料以(x珋±s)表示,采用t检验;并发症发生率和复发率等计数资料采用χ2检验或Fisher检验。P<0.05为差异具有统计学意义。结果两组患者均顺利完成手术无中转胆囊切除术病例。腹腔镜组患者手术时间、术中流血量、切口大小显著低于开放组(t=7.669,t=8.184,t=7.367,P<0.01)。腹腔镜组患者术后排气时间、住院时间、并发症发生率均显著短于开放组(t=7.928,t=9.126,P<0.01;χ2=4.181,P<0.05)。平均随访2年,腹腔镜组1例复发、开放组未见复发,两组间复发率差异无统计学意义(P>0.05)。结论完全腹腔镜保胆取石术临床疗效优秀,具有术中损伤小术后恢复快、复发率低的优点,具有临床应用价值。
Objective To compare the clinical effects of mini-incision cholecystolithotomy and laparoscopic cholecystolithotomy with gallbladder preservation. Methods A total of 72 patients with gallstone were randomly divided into open group （ n = 36） and laparoscopic group （ n = 36）. Patients in the open group were treated by mini-incision cholecystolithotomy with gallbladder preservation and patients in the laparoscopic group were treated by laparoscopic cholecystolithotomy with gallbladder preservation. Statistical analysis was performed using the SPSS 20.0 software. Measurement data were represented as mean ± SD, including average operation time, intraoperative blood loss, incision size, postoperative exhausting time, and hospital stay and all data were examined by Student＇ s t test. Count data, including the incidence of complications and recurrence rate were examined by the Chi-square test or Fisher＇ s exact test. P 〈 0.05 was considered statistically significant. Results Both groups were successfully operated on without conversion to cholecystectomy. The operative time, blood loss and incision size in the laparoscopic group were significantly lower than those in the open group （ t = 7. 669, t = 8. 184, t = 7. 367 respectively, P 〈 0.01 ）. The postoperative exhausting time, hospital stay and complications rate in the laparoscopic group were significantly lower than those in the open group（t =7. 928, t =9. 126, P 〈0. 01 ; χ^2 =4. 181 respectively, P 〈 0.05 ）. One patient experienced recurrence of gallstones in the laparoscopic group and none in the open group during the follow-up for 2 years （P 〉 0.05 ）. Conclusion Laparoscopic choleeystolithotomy with gallbladder preservation is effective in removal of gallstones with mini-invasion, quicker recovery and a low rate of recurrence.
出处
《中华普外科手术学杂志（电子版）》
2015年第5期42-44,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
胆结石
胆道外科手术
腹腔镜检查
对比研究
Cholelithiasis
Biliary tract surgical procedures
Laparoscopy
Comparative study
