摘要
目的探讨腹腔镜胆囊切除术治疗胆囊结石的临床效果。方法将我院收治的胆囊结石患者122例随机分为观察组和对照组,各61例。观察组患者采取腹腔镜胆囊切除术治疗,对照组患者采取传统开腹手术治疗。比较两组患者的临床效果。结果与对照组比较,观察组术中出血量更少,手术时间、住院时间更短,并发症总发生率更低(P<0.05)。两组术后pH、PaCO_2及PaO_2水平与术前比较,差异具有统计学意义(P<0.05);术后,观察组pH、PaCO_2及PaO_2水平明显优于对照组(P<0.05)。结论针对胆囊结石患者采用腹腔镜胆囊切除术的临床效果显著,且可有效减少各种并发症,安全性较高,值得临床应用推广。
Objective To investigate the clincal effect of laparoscopic cholecystectomy in the treatment of cholecystolithiasis.Methods A total of 122 cases of patients with cholecystolithiasis were randomly divided into observation group and controlgroup, with 61 cases in each group. The observation group was given laparoscopic cholecystectomy, and the control group wastreated with traditional laparotomy. The clinical effects of the two groups were compared. Results Compared with the controlgroup, there were less intraoperative blood loss, shorter operation time and hospital stays, and lower total incidence ofcomplications（P〈0.05）. There were significant differences in the levels of pH, PaCO2 and PaO2of both groups before and afteroperation （P〈0.05）. After operation, the levels of pH, PaCO2 and PaO2 in the observation group were better than those in thecontrol group（P〈0.05）. Conclusion Laparoscopic cholecystectomy in the treatment of cholecystolithiasis has significant clinicaleffect. It can reduce complications and has high safety, which is worthy of clinical application and promotion.
作者
朱健
侯安朝
ZHU Jian;HOU An-chao(General Surgery Department,the People＇s Hospital of Mei County,Baoji 722300,China)
出处
《临床医学研究与实践》
2018年第18期68-69,共2页
Clinical Research and Practice
关键词
胆囊结石
腹腔镜
胆囊切除术
cholecystolithiasis
laparoscopy
cholecystectomy
