摘要
目的观察胆囊结石腹腔镜微创治疗胆囊结石的临床效果。方法整群选取该院2010年1月—2013年12月收治的95例胆囊结石患者为研究对象,依据不同的治疗方法将患者分为对照组和观察组。比较两组手术时间、术中出血量、术后肛门排气时间住院时间和并发症发生情况。术后1年对患者进行随访,统计结石复发情况。结果两组手术时间、术中出血量和住院时间的比较差异无统计学意义,P>0.05;但观察组术后肛门排气时间、并发症发生率优于对照组,差异有统计学意义,P<0.05。随访中,观察组未见结石复发病例,对照组有1例,复发率为2.27%,差异无统计学意义,P>0.05。结论腹腔镜胆道镜保胆取石术、腹腔镜胆囊切除术均可获得良好的胆囊结石治疗效果,但腹腔镜胆道镜保胆取石术带来的创伤更小,并发症更少,安全性更佳。
Objective To observe the clinical effect of laparoscopic minimally-invasive surgery in the treatment of gallstones.Methods 95 patients with gallstones admitted in our hospital during January 2010 and December 2013 were selected as the research object and divided into control group and observation group according to treatment plan. Laparoscopic cholecystectomy and laparoscopy combined with choledochoscope for preservation of gallbladder were performed in the two groups respectively. The operative time, blood loss, postoperative exhaust time, hospitalization time and complications were compared between them. The recurrences were recorded based on 1 yeas follow-up for the two groups. Results There were no statistically significant differences in operative time, blood loss and hospitalization time between the two groups,P〈0.05; in postoperative exhaust time and complications rate, the observation group was superior to the control group and the difference was statistically significant,P〈0.05. Follow-up showed that no recurrence was found in the observation group and 1 case（2.27%） in the control group, but the difference was not statistically significant,P〈0.05. Conclusion Laparoscopic cholecystectomy and laparoscopy combined with choledochoscope for preservation of gallbladder both show good effect in the treatment of gallstones, however the latter is of light trauma and less com-plications and higher safety.
出处
《中外医疗》
2015年第22期66-67,共2页
China & Foreign Medical Treatment
关键词
胆囊结石
腹腔镜微创治疗
保胆取石术
胆囊切除术
Gallstone
Laparoscopic minimally invasive treatment
Cholecystolithotomy with gallbladder preserved
Cholecystectomy
