摘要
目的探讨有上腹部手术史的患者行直视微创胆囊切除术与传统开腹胆囊切除术对比研究。方法将有上腹部手术史的39例患者分为2组,行直视微创胆囊切除术者23例为观察组,传统开腹胆囊切除术16例为对照组,分析观察2种手术方法的临床疗效。结果 2组术中出血量、进食时间差异无统计学意义(P>0.05)。观察组切口感染率、下床活动时间、住院时间均优于对照组,差异有统计学意义(P<0.05)。对照组手术时间优于观察组,差异有统计学意义(P<0.05)。结论对有上腹部手术史的患者行直视微创胆囊切除术安全、有效。
Objective To investigate the effects of the direct vision minimally invasive cholecystectomy（DVMC） and traditional open cholecystectomy（TOC） in patients with a history of upper abdominal operation. Methods Thirty - nine cases of patients with a history of upper abdominal operation were divided into two groups, 23 cases were treated by DVMC as the observed group, and the other 16 cases were treated by TOC as the control group. The clinical curative effects of the two methods were observed. Results There were no significant difference between the two groups in the blood loss during operation and the time of first feed after operation （ P 〉 0.05 ）. There was significant difference in the infection rate of incision, moving time and hospital stay, the observed group was more superior than the control group （ P 〈 0 . 0 5 ） . The operating time of the TOC group was less than the DVMC group （ P 〈 0.05）. Conclusion The direct vision minimally invasive cholecystectomy is a safe and effective therapeutic method in patients with a history of upper abdominal operation.
出处
《河北医科大学学报》
CAS
2010年第7期774-776,共3页
Journal of Hebei Medical University
关键词
外科手术
胆囊切除术
治疗结果
surgical procedures, operative
cholecystectomy
treatment outcome
