摘要
目的探讨腹腔镜微创治疗对肝胆结石患者临床疗效、不良反应及预后的影响。方法选取2012年4月至2016年8月收治的肝胆结石患者600例,依据随机数字表法将这其分为腹腔镜微创治疗组(n=300)和传统开腹治疗组(n=300)两组。对两组患者的临床疗效、不良反应、手术情况及预后进行统计分析。结果腹腔镜微创治疗组患者治疗的总有效率97.3%(292/300)显著高于传统开腹治疗组80.0%(240/300)(P<0.05),术后不良反应发生率20.0%(60/300)显著低于传统开腹治疗组57.3%(172/300)(P<0.05),术中出血量显著少于传统开腹治疗组(P<0.05),术后肛门排气时间及住院时间均显著短于传统开腹治疗组(P<0.05)。结论腹腔镜微创治疗较传统开腹治疗对肝胆结石患者具有更显著的临床疗效、更少的不良反应及更好的预后。
Objective To evaluate the influences of laparoscopic minimally invasive treatment on clinical efficacy, adverse reactions and prognosis of patients with liver gallstones. Methods 600 cases of liver gallstone patients who were treated in our hospital from April 2012 to Au-gust 2016 were selected, these patients were divided into laparoscopic minimally invasive treatment group （n =300） and conventional open treat-ment group （ n = 300） according to the random number table. The clinical efficacy, adverse reactions and prognosis of the two groups were statisti-cally analyzed. Results The total treatment efficiency of of the laparoscopic minimally invasive treatment group was 97. 3% （292/300） , which was significantly higher than that of the conventional open treatment group 80. 0% （240/300） （ P 〈0.05） . The postoperative incidence of ad-verse reactions was 20. 0% （60/300） , which was significantly lower than that of conventional open treatment group 57. 3% （172/300 ） （ P 〈0. 05） . The blood loss was significantly less （ P 〈0.05） , the anal exhaust time and hospital stay were significantly shorter than that of the conventional open treatment group （ P 〈0. 0 5） . Conclusion Laparoscopic minimally invasive treatment has more significant clinical efficacy, fewer side effects and better prognosis of patients with liver gallstones than conventional open treatment.
出处
《临床和实验医学杂志》
2017年第11期1119-1122,共4页
Journal of Clinical and Experimental Medicine
基金
贵州省卫生计生委科学技术基金项目(编号:gzwjkj2014-2-151)
关键词
肝胆结石
腹腔镜微创治疗
临床疗效
不良反应
预后
Liver gallstones
Laparoscopic minimally invasive treatment
Clinical efficacy
Adverse reactions
Prognosis
