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腹腔镜胆囊切除术与小切口胆囊切除术治疗胆结石的临床对照研究 被引量:64

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摘要 目的探讨腹腔镜胆囊切除术与小切口胆囊切除术治疗胆结石的疗效。方法将180例胆结石患者随机分为两组,观察组(90例)采用腹腔镜胆囊切除术治疗,对照组(90例)采用小切口胆囊切除术治疗。观察并记录两组患者疗效、手术情况、术后恢复情况、痛觉感受及随访1个月期间并发症发生情况。评价腹腔镜胆囊切除术与小切口胆囊切除术治疗胆结石的疗效。结果观察组治疗有效率高于对照组(P<0.05);观察组术中出血量明显少于照组,并且手术、下床活动、术后排气及住院时间均较对照组短(P<0.05);术前,两组痛觉感受无统计学差异(P>0.05),术后1周、2周时痛觉感受逐渐减轻,且观察组痛觉较轻(P<0.05),随访1个月期间,观察组并发症发生率较低。结论腹腔镜胆囊切除术能较好地切除胆结石而不引起较大的手术创伤,疗效好,术后痛觉感受轻微,可促进患者早日康复,术后并发症发生较少,值得临床推广使用。
出处 《现代消化及介入诊疗》 2017年第4期543-545,共3页 Modern Interventional Diagnosis and Treatment in Gastroenterology
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