摘要
目的探讨和分析在胆结石患者中开腹手术、腹腔镜胆囊切除术的治疗效果。方法此次抽取2012年1月~2017年12月在医院治疗的胆结石患者(22例)当做分析的对象,按入院顺序分乙组和甲组,每组11例。乙组患者采用经开腹手术进行治疗,甲组患者经腹腔镜胆囊切除术进行治疗。对两组患者的手术情况、手术效果、并发症情况、术后恢复情况进行总结。结果乙组患者术中出血量以及手术时间均大于甲组患者,差异有统计学意义(P<0.05);乙组患者手术有效率小于甲组患者,差异有统计学意义(P<0.05);乙组患者并发症的总发生率大于甲组患者,但差异无统计学意义;乙组患者下床时间、排气时间、住院时间均长于甲组患者,差异有统计学意义(P<0.05)。结论在胆结石患者中,腹腔镜胆囊切除术的应用效果要明显好于开腹手术,患者经腹腔镜胆囊切除术治疗时,出血量低、手术时间短、手术有效率高、并发症少、排气时间短、下床时间短、住院时间短。
Objective To explore and analyze the therapeutic effect of laparotomy and laparoscopic cholecystectomy in gallstone patients.Meth?ods A total of 22 cases of cholelithiasis(22 cases)treated in our hospital from December to January 2012 were selected as the object of analysis.The patients were divided into group B and group A according to the order of admission,with 11 cases in each group.The study group B was treated by laparotomy.The study of group A was treated by laparoscopic cholecystectomy.The operation,the effect,the complications and the postoperative recovery were summarized.Results The blood loss and operative time in group B were significantly higher than those in group A,with a significant difference(P<0.05).The operative efficiency of group B was less than that of group A,with a significant difference(P<0.05).The incidence of complications in group B was higher than that in group A,but the difference was not significant.The time of getting out of bed,exhaust time and length of stay in group B were longer than those in group A,with a significant difference(P<0.05).Conclusion In patients with cholelithiasis,the effect of laparoscopic cholecystectomy is better than that of laparotomy.Patients with laparoscopic cholecystectomy have low bleeding,short operation time,high operative rate,less complications,short time of exhaust,short time to get out of bed and shorter residence time.
作者
王安江
张令宇
张真真
付志强
Wang Anjiang;Zhang Lingyu;Zhang Zhenzhen;Fu Zhiqiang(XinJiang Shihezi Economic and Technological Development Zone Hospital Surgery,Shihezi,XinJiang,832000,China)
出处
《当代医学》
2018年第23期61-63,共3页
Contemporary Medicine
