摘要
目的将腹腔镜胆嚢切除术与小切口胆嚢切除术进行对比,明确前者在胆嚢结石治疗中的临床价值.方法将92 例胆嚢结石病例利用随机综合平衡法分为2组,其中腹腔镜组和小切口组各有46例病患.腹腔镜组实施腹腔镜胆嚢切除 术开展治疗,小切口组实施小切口胆嚢切除术开展治疗.对比手术指标、术后不同时刻切口疼痛程度和并发症情况.结果 腹腔镜组手术操作时间、术中失血量、术后排气时间、开始下床活动时间及住院时间数据均明显少于小切口组（ P〈0. 05）;腹腔镜组与小切口组切口疼痛 VAS评分在时间、组间和交互方面比较均存在显著差异（ P〈0. 05）,且组间与组内比较差异 也有显著性（ P〈0. 05）;组间并发症发生率无显著差异（ P〉0. 0 5）.结论 腹腔镜胆嚢切除术在胆嚢结石治疗中能够减轻创 伤和疼痛程度,加快恢复进程.
objectives： to compare the clinical values of laparoscopic cholecystectomy and small incision cholecystecto-my, and clarify the former value in clinical treatment. Method： 92 cases with gallstone were enrolled and divided into two groups by randomized comprehensive balanced method. To compare the surgical indicators, post -surgery pain degree of inci-sion at different time and complication status, 46 cases were treated by the laparoscopic cholecystectomy, and the others were by small incision cholecystectomy. The operation time, intra -operative blood loss, post - operative exhaust time, thetime of getting out of bed and hospitalization of the laparoscopic cholecystectomy group were less than the another group ？s （P〈C〇. 05）. It showed significant differences in the VAS grade by comparison of the two groups？ time. Moreover, the differ-ence was applicable to intergroup and the interaction （P〈0. 05）. No significant difference was found in the intergroup compli-cation incidence （P〈0. 05）. Conclusion the Laparoscopic cholecystectomy could reduce the degree of trauma and pain, and ac-celerate the recovery process in the treatment of gallstone.
出处
《临床研究》
2017年第9期69-70,共2页
Clinical Research
关键词
腹腔镜
胆嚢切除术
胆嚢结石
并发症
laparoscopy
cholecystectomy
gallstones
complications
