摘要
目的 探讨腹腔镜胆囊切除术和开腹手术在胆结石合并胃溃疡患者中的疗效对比观察及对预后的影响.方法 取2013-08/2016-09浙江新安国际医院收治胆结石合并胃溃疡患者120例,电脑抽取随机数字法分为开腹组(n=60)和腹腔镜组(n=60).开腹组采用传统开腹手术治疗,腹腔镜组采用腹腔镜胆囊切除术治疗,比较2组临床疗效及对预后的影响.结果 腹腔镜组术中出血量,少于开腹组(P<0.05);腹腔镜组手术时间,长于开腹组(P<0.05);腹腔镜组肛门排气时间、术后住院时间,短于开腹组(P<0.05);腹腔镜组术后并发症发生率为6.67%,开腹组为11.67%,2组并发症发生率比较差异有统计学意义(P<0.05).结论 胆结石合并胃溃疡患者采用腹腔镜胆囊切除术具有创伤小、恢复快等优点,能改善预后,值得推广应用.
AIM To compare the clinical effects of laparoscopic cholecystectomy and laparotomy in gallstone patients with gastric ulcer.METHODS From August 2013 to September 2016, 120 gallstone patients with gastric ulcer were randomized into either a laparotomy group（n = 60） or a laparoscopic cholecystectomy group（ n = 60）. The laparotomy group underwent laparotomy, and the laparoscopic cholecystectomy group underwent laparoscopic cholecystectomy. Clinical efficacy and prognosis of the two groups were compared.RESULTS The amount of bleeding in the laparoscopic cholecystectomy group was significantly lower than that in the laparotomy group（P〈0.05）. The operative time was significantly longer in the laparoscopic cholecystectomy group than in the laparotomy group（P〈0.05）. The incidence of postoperative complications was 6.67% in the laparoscopic group and 11.67% in the open group, and there was a significant difference between the two groups（P〈0.05）.CONCLUSION Laparoscopic cholecystectomy has the advantages of little trauma and quick recovery and can i m prove prognosis in gallstone patients with gastric ulcer.
出处
《世界华人消化杂志》
CAS
2017年第18期1659-1662,共4页
World Chinese Journal of Digestology
关键词
腹腔镜胆囊切除术
开腹手术
胆结石
胃溃疡
临床效果
预后
Laparoscopic cholecystectomy
Open surgery
Gallstones
Gastric ulcer
Clinical effect
Prognosis
