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免气腹两孔法腹腔镜胆囊切除术的临床观察 被引量:6

Two holes of gasless laparoscopic cholecystectomy clinical observation
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摘要 目的探讨免气腹两孔法腹腔镜胆囊切除术(LC)的临床应用价值。方法 2010年1月至2011年8月选取拟行LC患者80例,随机分为两组,观察组行免气腹两孔法LC,对照组行气腹三孔法LC,监测两组患者手术时间、术中出血、术后疼痛、术后恶心呕吐发生率、术后肛门排气时间、术后下床活动时间、术后住院天数。研究结束后,对两组观察指标进行对比分析。结果两组患者手术时间、术后肛门排气时间、下床活动时间、术后住院天数差异无统计学意义(P>0.01),免气腹两孔法术后疼痛较轻,术后恶心呕吐少(P<0.01)。结论免气腹两孔法LC在极大程度满足患者美观需求的基础上,更具有临床操作简单、不增加手术难度、安全、经济实用等优点。 Objective To investigate the two hole of gasless laparoscopic cholecystectomy ( LC ) clinical application value. Methods From January 2010 to August 2011 ,. to select the intended line of laparoscopic operation in 80 cases, were randomly divided into two groups, the observation group two hole method of gasless laparoscopic cholecystectomy. The control group line of pneumoperitoneum three-port laparoscopic cholecystectomy, monitoring operation time, intraoperative bleeding, postoperative pain, postoperative nausea and vomiting, postoperative anal exhaust time, postoperative ambulation, postoperative hospital stay time. The end of the study, on two groups of observation were analyzed. Results The two groups of patients with operation time, postoperative anal exhaust time, time of ambulation, postoperative length of hospital stay, there were no significant differences between them ( P 〉 0.01 ), gasless two hole on postoperative pain of lighter, less postoperative nausea and vomiting ( P 〈 0.01 ). Conclusions Gasless two hole method LC in greatly meet patient needs based on the appearance, more clinically has the advantages of simple operation, does not increase operation difficulty, safe, economical and practical advantages.
作者 杜庆云
出处 《中华腔镜外科杂志(电子版)》 2011年第6期35-37,共3页 Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词 胆囊切除术 腹腔镜 免气腹 Cholecystectomy Laparoscopic Gasless
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参考文献9

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同被引文献51

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