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腹腔镜胆囊切除术治疗胆结石的临床效果及并发症 被引量:3

The Clinical Effect of the Treatment of the Laparoscopic Cholecystectomy in the Gallstones and its Complications
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摘要 目的观察和评价分析开腹胆囊切除术与腹腔镜胆囊切除术治疗胆囊结石的临床效果以及并发症情况,为胆囊结石患者的手术治疗提供一定的参考与借鉴。方法选取2012年12月~2014年12月我院收治的胆囊结石患者72例,根据治疗方法将其随机分为治疗组与对照组,每组各36例,其中治疗组采用腹腔镜胆囊切除术进行治疗,对照组采用开腹手术进行治疗,对比两组患者的术中、术后临床资料与并发症情况。结果治疗组患者的术中出血量比对照组减少,平均手术时间治疗组短于对照组,P均〈0.05。治疗组患者的术后排气时间、下床活动时间、平均住院时间与对照组相比均缩短(P〈0.05),镇痛泵使用率降低(P〈0.05)。结论腹腔镜胆囊切除术比传统手术具有手术时间短、出血量低、创伤小、恢复快、并发症较少的优点。 Objective To observe and evaluate the analysis of the open cholecystectomy,laparoscopic cholecystectomy and treatment clinical results and complications of gallstone disease situation,for the surgical treatment of patients with gallbladder stone provide certain reference and reference. Methods We selected from December 2012 to December 2014,our hospital 72 cases of patients with gallbladder stone,according to the treatment will be randomly divided into treatment group and control group,each group 36 cases,including the treatment group treated by laparoscopic cholecystectomy,the control group treated with open operation,compared two groups of patients with intraoperative and postoperative clinical data and complications. Results The treatment group was significantly less intraoperative blood loss than the control group patients,the average operation time in treatment group was significantly shorter than the contro group,P〈0.05. Treatment group of patients with postoperative exhaust time ambulation time,average hospital stay compared with control group,were significantly reduced(P〈0.05),analgesia pump utilization rate decreased significantly(P〈0.05). Conclusion The laparoscopic cholecystectomy is lower than traditional surgery with short operation time,blood loss,the advantages of small trauma,rapid recovery,fewer complications.
作者 巩固
出处 《中国继续医学教育》 2016年第1期70-71,共2页 China Continuing Medical Education
关键词 腹腔镜 胆囊切除术 胆结石 并发症 Laparoscopic Cholecystectomy Gallstones Complications
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