摘要
目的探讨不同手术方法治疗胆囊结石的临床疗效。方法将我院2009年1月～2010年1月应用传统开腹胆囊切除术治疗的60例胆囊结石患者设立为A组,同期应用腹腔镜胆囊切除术治疗的胆囊结石54例设立为B组以及同期行小切口胆囊切除术治疗的62例胆囊结石患者设立为C组,应用统计学方法对比分析各组患者的手术效果、术后恢复情况及并发症情况。结果所有患者均全部治愈,B、C组的疗效明显优于A组,差异具有统计学意义(P<0.05)。但相对C组来说,B组大部分观察指标较C组更占一定优势,B组的手术时间短,术中出血少,术后患者下床活动早,术后并发症少,术后恢复效果好。结论腹腔镜胆囊切除术治疗胆囊结石手术效果明显优于传统开腹胆囊切除术及小切口胆囊切除术,具有创伤小、操作简单、安全性高、恢复快、并发症少等优点,值得广泛推广和应用。
Objective To investigate the clinical efficacy of different surgical methods in treatment of gallbladder stones. Methods From January 2009 to January 2010 in our hospital, 60 cases of gallbladder stones patients who treated by conventional laparotomy resection of the gallbladder, were set up for the A group, 54 cases patients treated by laparoscopic eholecysteetomy for gallbladder stones were set for B group, and 62 cases patients treated by concomitant treatment of small-incision cholecysteetomy were set up for the C group, the effect of surgery, postoperative recovery and complications were compared by the statistical methods. Results All patients were cured, group B and group C were significantly better than groupA, the difference was statistically significant （P 〈0.05）. But relatively group C, the most observed indicators of group B accounted for more than a certain advantage than group C, operative time of group B was shorter, the blood loss of group B was less, early postoperative ambulation, group B had fewer complications, had better postoperative recovery effect. Conclusion Laparoscopic eholecystectomy gallstone surgery is superior to conven- tional open resection of the gallbladder and small-incision cholecystectomy, with less trauma, simple operation, safe and rapid recovery, fewer complications,it is worth widely promoted and applied.
出处
《中国现代医生》
2014年第2期146-148,共3页
China Modern Doctor
关键词
胆囊结石
传统开腹胆囊切除术
腹腔镜胆囊切除术
小切口胆囊切除术
Gallbladder stones
Conventional open resection of the gallbladder
Laparoseopic cholecystectomy
Small- incision cholecystectomy
