摘要
目的评价腹腔镜胆囊切除术(LC)治疗胆囊结石的效果。方法选择2017年10月至2019年10月普外科收治的63例胆囊结石患者为研究对象,按照手术方式的不同将其分为A组(n=21)和B组(n=42)。A组实施传统开腹胆囊切除术(OC),B组实施LC。比较两组的治疗效果。结果A组21例患者均顺利完成OC手术,B组42例患者中2例中转OC,40例顺利完成LC手术。B组围术期并发症总发生率低于A组,差异具有统计学意义(P<0.05)。术前、术后4周,两组患者的GIQLI、SF-36评分比较,差异无统计学意义(P>0.05);术后2周,B组的GIQLI、SF-36评分均高于A组,差异具有统计学意义(P<0.05)。结论相较于OC,LC的并发症更少,术后患者恢复时间短,但其仍不能完全替代OC。
Objective To evaluate the effect of laparoscopic cholecystectomy(LC)in the treatment of cholecystolithiasis.Methods From October 2017 to October 2019,63 patients with cholecystolithiasis admitted in the general surgery department were selected as the study objects.According to the different operation methods,the patients were divided into group A(n=21)and group B(n=42).The group A was treated with traditional open cholecystectomy(OC),while the group B was treated with LC.The therapeutic effects of the two groups were compared.Results All the 21 patients in group A completed the OC surgery successfully,2 cases of the 42 patients in the group B were transferred to OC,and 40 patients completed the LC surgery successfully.The total incidence of perioperative complications in the group B was lower than that in the group A,and the difference was statistically significant(P<0.05).Before surgery and at 4 weeks after surgery,there were no significant differences in the scores of GIQLI and SF-36 between the two groups(P>0.05);at 2 weeks after surgery,the scores of GIQLI and SF-36 in the group B were higher than those in the group A,and the differences were statistically significant(P<0.05).Conclusion Compared with OC,LC has fewer complications and shorter postoperative recovery time,but it still can't completely replace OC.
作者
张国成
ZHANG Guo-cheng(Traditional Chinese Medicine Hospital of Yiyang County,Luoyang 471600,China)
出处
《临床医学研究与实践》
2020年第9期71-72,共2页
Clinical Research and Practice
关键词
腹腔镜胆囊切除术
开腹胆囊切除术
胆囊结石
普外科
GIQLI评分
laparoscopic cholecystectomy
open cholecystectomy
cholecystolithiasis
general surgery department
GIQLI score
