摘要
目的研究腹腔镜胆囊切除术治疗慢性结石性胆囊炎的临床效果。方法选择在我院接受手术治疗的慢性结石性胆囊炎患者86例为研究对象,将其以数字随机列表分为对照组和治疗组各43例。对照组患者接受常规开放手术方式进行治疗;治疗组患者采用腹腔镜胆囊切除术进行治疗。比较两组患者临床疗效和不良反应发生率。结果治疗组患者胆囊炎手术操作总时间、术后胃肠道功能恢复正常时间、术后住院接受恢复性治疗总时间均显著短于对照组患者,差异有统计学意义(P<0.05)。治疗组患者共2例发生并发症,占4.7%,对照组共10例出现并发症,占23.3%,治疗组患者并发症发生率明显低于对照组患者,差异有统计学意义(χ~2=6.198,P=0.013)。两治疗组患者临床总有效率90.7%,显著高于对照组患者临床总有效率69.8%,差异有统计学意义(Z=-2.068,P=0.029)。结论慢性结石性胆囊炎患者采用腹腔镜胆囊切除术方式实施治疗,可以缩短手术操作时间和手术后恢复时间,减少手术原因导致出现的不良反应。
Objective To study the clinical effect of laparoscopic cholecystectomy in treatment for patients with chronic calculous cholecystitis. Methods Totally 86 cases of patients with chronic eholecystitis disease and will accepted surgical treatment in our hospital were chose as the research objects, they were divided into control group and treatment group according to mathematical random list, 43 cases in each group. The control group was treated with conventional open surgery, while treatment group was treated with laparoscopic treatment. Results After the treatment the total time of operation, normal gastrointestinal function recovery time, postoperative hospitalization recovery of treatment group was shorter than the control group, the differences were statistically significant （P〈0.05）. Occurrence rate of complication in treatment group （2, 4.7% ） was lower than the control group （ 10, 23.3% ） , there was significant difference between groups （ X2 = 6.198, P = 0. 013 ）. The total clinical efficacy of treatment group reached 90.7%, higher than 69.8% in the control group, with significant difference between groups （ Z = - 2.068, P = 0.029 ）. Conclusions For chronic calculous cholecystitis disease patients, using laparoscopic eholecysteetomy can shorten the operation time and recovery time after surgery, and reduce the surgery causes adverse reaction.
出处
《齐齐哈尔医学院学报》
2017年第19期2271-2272,共2页
Journal of Qiqihar Medical University
关键词
腹腔镜
胆囊切除术
结石性胆囊炎
Laparoscope
Cholecystectomy
Calculous cholecystitis
