摘要
目的探究腹腔镜与胆道镜联合微创保胆取石术与腹腔镜胆囊切除术对胆囊结石的治疗效果。方法选取2014年7月至2016年6月就诊的96例胆囊结石患者作为研究对象,随机分为双镜组(腹腔镜联合胆道镜微创保胆取石治疗)和腹腔镜组(腹腔镜胆囊切除治疗),每组各48例。应用SPSS 17.0软件对所有临床数据进行统计学分析,手术情况、术后恢复和肠胃功能恢复时间以均数±标准差表示,组间比较采用独立t检验;术后并发症和复发情况,采用χ2检验;以P<0.05表示差异有统计学意义。结果两组患者术中出血量、术后24h疼痛VAS评分、住院时间和复发率比较,差异无统计学意义(P>0.05);与腹腔镜组相比,双镜组手术时间、切口长度、首次排气时间、手术前后胆囊壁厚度差、首次下床活动时间、肠胃功能恢复时间和并发症发生率有明显优势,差异有统计学意义(P<0.05)。结论双镜联合微创保胆取石治疗胆囊结石可促进患者术后恢复,控制并发症的发生率,具有一定的临床价值。
Objective To explore the effect of minimally invasive gallbladder preserving lithotomy combined with choledochoscope and laparoscopic cholecystectomy in the treatment of gallbladder stone. Methods 96 gallstone patients from July 2014 to June 2016 treated in our hospital were collected and randomly divided into double lens group （ minimally invasive gallbladder preserving lithotomy combined with choledochoscope） and the laparoscopie group （laparoscopic resection） , 48 cases in each group. Statistical analysis was performed by using SPSS 17. 0 software. The recovery circumstances, recovery time and gastrointestinal recovery time were represented in （x＋ s ） and compared by t test; The postoperative complications and recurrence were compared using χ2 test; the difference was statistically significant in P 〈 0.05. Results There were no significant diffenrence in the amount of bleeding, pain VAS score at postoperative 24h, hospitalization time and recurrence rate between the two groups （P 〉 0.05 ） ; Compared with the laparoscopic group, the operation time, incision length, first exhaust time, gallbladder wall thickness before and after the surgery, ambulation time, stomach function recovery time and complication rate in double lens group were better, the differences were statistically significant （P 〈 0. 05 ）. Conclusions Minimally invasive gallbladder preserving lithotomy combined with choledochoscope can promote the postoperative recovery of patients, reduce the incidence of complications, which has certain clinical value in treatment of gallbladder calculi.
出处
《中华普外科手术学杂志（电子版）》
2018年第1期85-87,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
胆囊结石病
胆囊切除术
腹腔镜
外科手术
微创性
对比研究
Cholecystolithiasis
Cholecystectomy, Laparoscopic
Surgical Procedures,Minimally Invasive
Comparative Study
