摘要
目的探讨腹腔镜下保胆取石术治疗胆囊结石的效果及安全性分析。方法回顾性分析怀集县人民医院采用腹腔镜下保胆取石术治疗胆囊结石168例患者临床资料(观察组),同期选择80例采用腹腔镜下胆囊切除术患者进行对照研究,比较两组患者的疗效及并发症情况。结果观察组患者手术时间、术后肠蠕动恢复时间、术后饮食恢复时间及住院时间均显著短于对照组,差异有统计学意义(P<0.01);两组患者感染、肠梗阻、盆腔积液、腹腔出血的发生率比较,差异无统计学意义(P>0.05),观察组患者的结石残留率及总计并发症发生率均显著低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜下保胆取石术与腹腔镜下胆囊切除术比较具有手术时间短、术后恢复快、住院时间短及总计并发症发生率低等特点,且具有较高的安全性,利于患者的术后康复。
Objective To explore the efficacy and safety of laparoscopy paul gall stone surgery in treatment of gallstones. Methods 168 cases of patients with gallstone treated with laparoscopy paul gall stone surgery in Huai Ji County People′s Hospital retrospectively analyzed（observation group）,80 cases of patients with gallstone treated with laparoscopic cholecystectomy at the same period were selected as control group.The efficacy and complications were compared. Results The operative time,postoperative bowel recovery time,postoperative recovery time diet and hospital stay in the observation group was lower than that in the control group,the difference was significant（P〈0.01）.The incidence of infection,bowel obstruction,pelvic fluid,abdominal bleeding in the two groups had no significant difference（P〈0.05）,the calculus residual rate and total complication rate in the observation group was lower than that of the control group,the difference was significant（P〈0.05）. Conclusion Compared with laparoscopic cholecystectomy,the laparoscopy paul gall stone surgery has shorter operative time,rapid postoperative recovery,shorter hospital stay and lower total complication rate and other characteristics,and has high security,is beneficial to rehabilitate after surgery.
出处
《中国当代医药》
2015年第1期26-28,31,共4页
China Modern Medicine
关键词
腹腔镜
保胆取石术
胆囊结石
疗效
安全性
Laparoscopy
Paul gall stone surgery
Gallstones
Efficacy
Safety
