摘要
目的对比观察腹腔镜胆囊切除术与微创内镜保胆术治疗胆囊息肉的疗效差异。方法选取某院2018年1月至2019年1月收治的胆囊息肉患者80例,根据随机数表法分为观察组及对照组,各40例。观察组实施微创内镜保胆术,对照组实施腹腔镜胆囊切除术,观察并比较两组手术效果及术后并发症。结果观察组手术时间、术中出血量、VAS评分、肛门排气时间及住院时间均明显低于对照组,且术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论微创内镜保胆术治疗胆囊息肉手术效果较腹腔镜胆囊切除术手术时间短,患者术后恢复快,并发症少,临床疗效显著。
Objective To observe the efficacy of Laparoscopic Cholecystectomy(LC)and minimally invasive Endoscopic Cholecystolithotomy in treatment of Gallbladder Polyps.Methods Selected 80 patients with Gallbladder Polyp in a hospital from January 2018 to January 2019,and divided them into observation group and control group by random number table,40 cases in each group.Observation group was given minimally invasive Endoscopic Cholecystolithotomy,while control group was treated with LC.The surgical effects and postoperative complications were compared between the two groups.Results The operation time,intraoperative bleeding volume,visual analogue scale(VAS),anal exhaust time and hospital stays in observation group were lower than those in control group,and the total incidence of postoperative complications was lower than control group.The difference was statistically significant(P<0.05).Conclusion The surgical effect of minimally invasive endoscopic cholecystolithotomy in the treatment of gallbladder polyps is better than that of LC,and it has short operation time,quick postoperative recovery and less complications,which has significant clinical efficacy.
作者
程勇
CHENG Yong(Practical Teaching Management Department,Shaanxi Energy Institute,Xi'an 710613,China)
关键词
胆囊息肉
腹腔镜胆囊切除术
微创内镜保胆术
Gallbladder Polyps
Laparoscopic Cholecystectomy
minimally invasive Endoscopic Cholecystolithotomy
