摘要
目的比较分析腹腔镜胆囊切除术与传统开放手术临床疗效。方法回顾分析我院2010年2月～2012年3月进行的534例胆囊切除术,根据手术方法分成观察组与对照组,观察组278例进行腹腔镜胆囊切除术,对照组行传统开腹胆囊切除术256例。观察术后疗效及术后并发症发生情况并进行对比分析。结果对比两组手术时间、术中出血量及术后排气时间、术后住院时间,观察组明显均优于对照组(P<0.05)。观察组术后共发生并发症8例,发生率为2.9%,对照组13例,发生率为5.1%,观察组低于对照组(P<0.05)。结论腹腔镜胆囊切除术与传统开放手术相比较,具有创伤小、手术时间短、并发症发生率低等优点,值得临床推广和应用。
Objective To compare the clinical effect of laparoscopic cholecystectomy（LC） and open cholecystectomy（OC）. Methods The clinical data of 534 cholecystectomy patients who were in hospital between February 2010 to March 2012 were retrospectively analyzed. All patients were divided into the control group and the experiment group according to the treatment method. The experiment group （278 patients） was given LC and the control group （256 patients） was treated by OC. The operation effect and postoperative complications of the two groups were compared. Results The surgery durations were shorter, the bleeding volumes in operation were less and the postoperative evacuating time was earlier of the experiment group than those of the control group （P 〈 0.05）. There were 8 and 13 patients who had the postoperative complications respectively of the experiment group and the control group. And incidence rate of postoperative complications in the experiment group was 2.9 % lower than 5.1 % in control group （P 〈 0.05）. Conclusion LC has advantages of less trauma, shorter operation duration and less postoperative complications than OC, and is worthy of clinical promoted application.
出处
《中国医药科学》
2013年第10期205-206,共2页
China Medicine And Pharmacy
关键词
腹腔镜胆囊切除术
开腹胆囊切除术
手术时间
并发症
Laparoscopic cholecystectomy
Open cholecystectomy
Surgery durations
Postoperative complication
