摘要
目的:探讨开腹胆囊切除术(OC)与腹腔镜胆囊切除术(LC)的临床疗效。方法:选择2012年3月-2013年3月期间收治的74例胆囊疾病患者,根据病情、适应证及患者意愿分成LC组41例和OC组33例,观察两组患者的手术时间、术中出血量、术后排气时间、下床活动时间、住院时间、并发症情况等指标。结果:LC组的手术时间、术中出血量、术后排气时间、下床活动时间、住院时间较OC组明显缩短或减少,其差异均具有统计学意义(P<0.05);LC组术后并发症的发生率为12.2%,明显低于OC组的30.3%,差异有统计学意义(P<0.05)。结论:与传统OC治疗胆囊疾病比较,LC具有切口小、手术时间短、术后疼痛轻、术中出血量少、术后恢复快、住院时间短和并发症少等优点,是一种安全可行手术方法。
Objective：To explore clinical efficacy of open cholecystectomy（OC）and laparoscopic cholecystectomy（LC）.Method：74 cases of patients with gallbladder disease were divided into LC group（41 cases）and OC group（33 cases）respectively according to the condition,the indications and the wishes of patients.Operative time,blood loss,postoperative exhaust time,ambulation time,hospital stay and complications were observed in two groups.Result：Operative time,blood loss,postoperative exhaust time,ambulation time,hospital stay in LC group were significantly shorter than the OC group,and the differences were statistically significant（ P 0.05）.Postoperative complications in LC group was significantly lower than the OC group,and the difference was statistically significant between the groups（ P 0.05）.Conclusion：LC is a safe and feasible surgical methods for treatment of gallbladder disease because of its merits of small incision,short operative time,less blood loss,fast recovery,short hospitalization time and few complications in comparison with OC.
出处
《中国医学创新》
CAS
2013年第24期19-20,共2页
Medical Innovation of China
