摘要
目的探讨腹腔镜胆囊切除术在基层医院的应用效果。方法以2015年1月—2021年8月泰州市姜堰太宇医院收治的150例胆囊切除患者为研究对象,依据手术方法不同分为治疗组(腹腔镜胆囊切除术,109例)和对照组(开腹胆囊切除术,41例),比较观察两组基本手术指标及术后恢复情况,统计并发症,评价疗效与安全性。结果两组手术成功率均为100%,治疗组手术并发症发生率(2.75%)低于对照组(24.39%),差异有统计学意义(χ^(2)=17.623,P<0.05)。治疗组手术时间(55.31±7.62)min早于对照组(76.85±10.48)min,术中出血量(28.52±9.43)mL少于对照组(67.45±9.16)mL,术后24 h静息疼痛评分(2.36±0.41)分低于对照组(3.47±0.55)分,术后引流2~3 d拔管占比(84.40%)高于对照组(58.54%),术后进食时间(27.51±3.64)h早于对照组(75.62±8.31)h,下地时间(30.62±5.07)h早于对照组(49.14±8.28)h,住院时间(6.13±0.82)d短于对照组(8.44±1.05)d,差异有统计学意义(P<0.05)。结论腹腔镜胆囊切除术疗效确切,手术无中转开腹,用时短,创伤小,出血少,术后恢复快,并发症发生率低,效果优于开腹手术,可作为基层医院胆囊切除首选方法加以推广使用。
Objective To discuss the effectiveness of laparoscopic cholecystectomy in primary care hospitals.Methods 150 cholecystectomy patients admitted to Taizhou Jiangyan Taiyu Hospital from January 2015 to August 2021 were studied,and were divided into a treatment group(laparoscopic cholecystectomy,109 cases)and a control group(open cholecystectomy,41 cases)according to the different surgical methods.The basic surgical indexes and postoperative recovery of the two groups were compared and observed,complications were counted,and the efficacy and safety were evaluated.Results The surgical success rate was 100% in both groups.The incidence of surgical complications in the treatment group(2.75%)was lower than that in the control group(24.39%),and the difference was statistically significant(χ^(2)=17.623,P<0.05).The operative time in the treatment group(55.31±7.62)min was earlier than that in the control group(76.85±10.48)min,the intraoperative bleeding volume(28.52±9.43)mL was less than that in the control group(67.45±9.16)mL,and the 24 h postoperative resting pain score(2.36±0.41)points was lower than that in the control group(3.47±0.55)points,the percentage of postoperative drainage 2-3 d removed(84.40%)was higher than that of the control group(58.54%),and the postoperative feeding time was earlier(27.51±3.64)h than that of the control group(75.62±8.31)h,the time to landing(30.62±5.07)h was earlier than that of the control group(49.14±8.28)h,and the hospital stay(6.13±0.82)d was shorter than that of the control group(8.44±1.05)d.The difference was statistically significant(P<0.05).Conclusion Laparoscopic cholecystectomy has exact efficacy,no intermediate opening,short time,small trauma,less bleeding,fast postoperative recovery,low complication rate,and better results than open surgery,which can be promoted as the preferred method of cholecystectomy in primary hospitals.
作者
戴书元
DAI Shuyuan(Department of General Surgery,Taizhou Jiangyan Taiyu Hospital,Taizhou,Jiangsu Province,225500 China)
出处
《世界复合医学》
2022年第5期118-121,137,共5页
World Journal of Complex Medicine
关键词
基层医院
腹腔镜胆囊切除术
疗效
安全性
Grass roots Hospital
Laparoscopic cholecystectomy
Curative effect
Security
