摘要
目的研究微创内镜保胆取息肉术与腹腔镜胆囊切除术治疗胆囊息肉的效果。方法该次研究选取的研究对象为2015年5月—2016年4月期间收治的胆囊息肉患者84例,计算机随机分为对照组(腹腔镜胆囊切除术)和观察组(微创内镜保胆取息肉术),42例/组。对比两组胆囊息肉患者的围术期相关指标、临床总有效率、并发症发生情况以及疼痛发生率。结果观察组胆囊息肉患者的手术时间(49.36±7.82)min、术中出血量(10.12±2.07)m L、术后肛门排气时间(16.66±3.57)h、恢复进食时间(1.52±0.41)d、住院时间(4.22±0.75)d均比对照组少(P<0.05);观察组胆囊息肉患者的临床总有效率(95.24%)、并发症发生率(11.90%)以及疼痛发生率(7.14%)均优于对照组(P<0.05)。结论微创内镜保胆取息肉术治疗胆囊息肉的效果比腹腔镜胆囊切除术更为理想。
Objective To research the effect of minimal invasive gallbladder preserving polypectomy and laparoscopic cholecystectomy in treatment of gallbladder polyps. Methods 84 cases of patients with gallbladder polyps admitted and treated in our hospital from May 2015 to April 2016 were selected and randomly divided into two groups with 42 cases in each, the control group and the observation group were respectively laparoscopic cholecystectomy and minimal invasive gallbladder preserving polypectomy, and the related indicators during the perioperative period, total clinical effective rate, occurrence of complications and incidence rate of pains were compared between the two groups. Results The operation time, intraoperative bleeding amount, postoperative anus exhaust time, recovery time of dieting and length of stay in the observation group were respectively（49.36±7.82）min,（10.12±2.07）m L,（16.66±3.57）h,（1.52±0.41）d,（4.22±0.75）d, which were lower than those in the control group（P〈0.05）, and the total clinical effective rate of patients with gallbladder polyps, incidence rates of complications and pains in the observation group were respectively 95.24%,11.90% and 7.14%, which were better than those in the control group（P〈0.05）. Conclusion The effect of minimal invasive gallbladder preserving polypectomy in treatment of gallbladder polyps is more ideal than that of laparoscopic cholecystectomy.
作者
李兵
LI Bing(First Department of General Surgery, Hospital Affiliated to Chifeng College, Chifeng, Inner Mongolia, 024000 Chin)
出处
《系统医学》
2018年第1期75-77,共3页
Systems Medicine
关键词
胆囊息肉
微创内镜保胆取息肉术
腹腔镜胆囊切除术
效果
Gallbladder polyps
Minimal invasive gallbladder preserving polypeetomy
Laparoseopie eholeeysteetomy
Effect
