摘要
目的探讨腹腔镜胆囊切除术与开腹胆囊切除术的临床疗效以两种术式对术后胃肠功能的影响。方法方便选择通州区中医院2017年1月-2019年12期间该科收治的胆囊结石患者共96例,采用随机数字法将96例研究对象分为成开腹组(OC组)和腹腔镜组(LC组)各48例。统计分析两组患者临床疗效、手术情况、术后胃肠功能恢复情况等资料。结果OC组总有效率(97.92%)与LC组(100.00%)比较差异无统计学意义(χ^2=0.933,P=0.854)。LC组患者的手术时间(42.4±5.1)min、术中出血量(31.9±9.2)mL、下床活动时间(15.5±6.2)h以及住院时间(5.8±4.9)d均低于OC组,差异有统计学意义(t=12.208、16.091、6.904、5.201,P<0.05)。LC组患者术后肠鸣音恢复时间(12.97±3.58)h、肛门排气时间(15.80±4.14)h、排便时间(26.06±5.28)h、进食时间(31.83±7.97)h均低于OC组,差异有统计学意义(t=17.412、17.926、24.131、15.984,P<0.05)。LC组术后呕吐、腹胀、腹泻、便秘、肠粘连的发生率均低于OC组,差异有统计学意义(P<0.05)。结论腹腔镜胆囊切除术能够有效避免对胃肠道的刺激,加速胃肠功能的康复进程,促进患者术后胃肠功能的恢复、减少肠粘连并发症等的发生。
Objective To investigate the clinical effects of laparoscopic cholecystectomy and open cholecystectomy,and the influence of two surgical methods on postoperative gastrointestinal function.Methods A total of 96 patients with gallbladder stones admitted to the department from January 2017 to December 2019 in Tongzhou District Hospital of Traditional Chinese Medicine were conveniently selected.The 96 subjects were divided into open abdominal group(OC group)and laparoscopic group by random number method(LC group)48 cases in each case.Statistical analysis of the clinical efficacy,surgical conditions,postoperative gastrointestinal function recovery and other data of the two groups of patients.Results The total effective rate(97.92%)of the OC group was not significantly different from that of the LC group(100.00%),and the difference was statistically significant(χ^2=0.933,P=0.854).Operation time(42.4±5.1)min,intraoperative blood loss(31.9±9.2)mL,time to get out of bed(15.5±6.2)h and hospitalization time(5.8±4.9)d in the LC group lower than the OC group,and the difference was statistically significant(t=12.208,16.091,6.904,5.201,P<0.05).Postoperative bowel sounds recovery time of patients in the LC group(12.97±3.58)h,anal exhaust time(15.80±4.14)h,defecation time(26.06±5.28)h,eating time(31.83±7.97)h were all lower than the OC group,and the difference was statistically significant(t=17.412,17.926,24.131,15.984,P<0.05).The incidences of postoperative vomiting,abdominal distension,diarrhea,constipation,and intestinal adhesions in the LC group were lower than those in the OC group,and there were significant statistical differences(P<0.05).Conclusion Laparoscopic cholecystectomy can effectively avoid the stimulation of the gastrointestinal tract,accelerate the recovery process of gastrointestinal function,promote the recovery of gastrointestinal function after surgery,and reduce the occurrence of complications of intestinal adhesions.
作者
陆峰
LU Feng(Department of Surgery,Tongzhou District Hospital of Traditional Chinese Medicine,Nantong,Jiangsu Province,226300 China)
出处
《中外医疗》
2020年第30期57-59,共3页
China & Foreign Medical Treatment
关键词
腹腔镜
胆囊
开腹
胃肠功能
Laparoscopy
Gallbladder
Laparotomy
Gastrointestinal function
