摘要
目的 :比较用腹腔镜胆囊切除术与小切口胆囊切除术治疗胆结石的效果。方法 :将阆中市人民医院在2015年11月至2016年11月期间收治的96例胆结石患者作为本研究的对象。回顾性分析这96例患者的临床资料,根据手术方法的不同将其分为观察组(n=56)和对照组(n=40)。采用腹腔镜胆囊切除术对观察组患者进行治疗,采用小切口胆囊切除术对对照组患者进行治疗,然后比较两组患者手术持续的时间、术中的出血量、术毕至肛门排气的时间、术毕至下床活动的时间、术后住院的时间、治疗的总费用及其术后并发症的发生率。结果 :与对照组患者相比,观察组患者术中的出血量更少,其手术持续的时间、术毕至肛门排气的时间、术毕至下床活动的时间和术后住院的时间均更短,其术后并发症的发生率更低,差异有统计学意义(P<0.05)。与对照组患者相比,观察组患者治疗的总费用更高,差异有统计学意义(P<0.05)。结论 :与用小切口胆囊切除术治疗胆结石相比,用腹腔镜胆囊切除术治疗该病的效果更好,能有效地减少患者术中的出血量,降低其术后并发症的发生率,缩短其术后恢复的时间。但用腹腔镜胆囊切除术对该病患者进行治疗的费用较高。
Objective: To compare laparoscopic cholecystectomy and small incision cholecystectomy for treatment of cholelithiasis. Methods: 96 patients with cholelithiasis treated in our hospital from November 2015 to November 2016 were randomly selected as the research object.Retrospectively study the clinical material of these patients.According to the different surgical methods, the patients were divided into experimental group(n=56)and control group(n=40). The experimeantal group of patients were treated with laparoscopic cholecystectomy, the control group were treated with small incision cholecystectomy. Compare time of operation,bleeding loss volume, anal exhaust time, time of leaving bed, length of stay, total treatment expenses,and incidence of complications of 2 groups(P < 0.05). Results: Compare with control group, bleeding loss volume of experimental group is more less,time of operation, anal exhaust time, time of leaving bed, length of stay of experimental group are more shorter,incidence of complications is more lower(P <0.05). Compare with control group, total treatment expenses of experimental group is more higher(P<0.05). Conclusion: Laparoscopic cholecystectomy is superior to small incision cholecystectomy in the treatment of cholelithiasis.Apply this therapy for cholelithiasis have effect of reduce bleeding loss volume and incidence of complications,shorten recovery time.But total treatment expenses of laparoscopic cholecystectomy is high.
关键词
腹腔镜胆囊切除术
小切口胆囊切除术
胆结石
laparoscopic cholecystectomy
small incision cholecystectomy
cholelithiasis
