摘要
目的观察分析胆结石采用腹腔镜胆囊切除术进行治疗的临床疗效。方法选取胆结石患者84例作为研究对象,按手术方式的不同分为对照组与观察组,各42例。对照组给予传统开腹胆囊切除术,观察组给予腹腔镜胆囊切除术,观察并详细记录两组手术指标,并评价其并发症发生情况,利用c2与t值对数据加以检验。结果观察组手术时间(62.18±6.54)min、手术出血量(34.29±4.13)m L均优于对照组;观察组术后腹痛缓解时间(48.28±5.12)min、肛门排气时间(20.14±5.14)h及住院时间(4.18±1.23)d均优于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为4.76%,低于对照组23.81%,差异有统计学意义(P<0.05)。结论胆结石采用腹腔镜胆囊切除术治疗疗效较好,具有微创、术中出血量少、手术时间短、术后疼痛轻以及并发症少等优点,在临床中具有良好的应用价值。
Objective To observe and analyze the clinical effects of laparoscopic cholecystectomy in treatment of gallstones. Methods 84 cases of patients with gallstone were selected as the research objects,and according to the different operation way were divided into the control group and the observation group,with 42 cases in each groups.In the control group of patients were treated with conventional open cholecystectomy, while in the observation group of patients were treated with laparoscopic cholecys- tectomy.Then,the operation indicators of two groups were observed and recorded, and its incidence of complications were evaluated, Use of test and t value to the data.Results The operation time（62.18±6.54）min and bleeding（34.29±4.13）mL amount in the obser- vation group were better than those in the control group. The pain relief time （ 48.28±5.12 ） min, anal exhaust time （20.14±5.14 ） h and hospitalization time （4.18± 1.23 ）d after operation in the observation group were better than those in the control group, the difference was statistically significant （P〈0.05）; And the complication rate in the observation group was 4.76%,which was lower than that in the control group of 23.81%, and the difference was statistically significant （P〈0.05）.Conclusion The clinical effects of laparo- scopic cholecystectomy in treatment of gallstones are good, which has the advantages of minimally invasive, less blood loss during the operation, shorter operation time, less postoperative pain and less complications, etc, and has good application value in clinical practice.
出处
《当代医学》
2017年第2期28-30,共3页
Contemporary Medicine
关键词
胆结石
腹腔镜
胆囊切除术
临床疗效
Gallstones
Laparoscopy
Cholecystectomy
Clinical effect
