摘要
目的探讨腹腔镜下胆囊切除术治疗胆结石的临床疗效。方法采用随机数字表法将我院2018年2月—2019年2月收治的80例胆结石患者分为2组,各40例。对照组采用小切口胆囊切除术,观察组采用腹腔镜下胆囊切除术,比较2组临床指标、应激指标及并发症情况。结果观察组术中出血量比对照组低,肠胃功能恢复时间、住院时间、手术时间、下床活动时间均比对照组短,差异有统计学意义(P<0.05);术后,2组皮质醇(Cor)、肾上腺素(E)水平均高于术前,但观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率5.00%(2/40),比对照组的22.50%(9/40)低,差异有统计学意义(P<0.05)。结论腹腔镜下胆囊切除术创伤较小,可有效减轻胆结石患者术后应激反应,加快术后恢复,且安全性较高。
Objective To investigate the effect of laparoscopic cholecystectomy in the treatment of gallstones and improve the clinical effect.Methods Using random number table method,80 patients with gallstones admitted in our hospital from February 2018 to February 2019 were divided into 2 groups of 40 cases each.The control group underwent small incision cholecystectomy,and the observation group underwent laparoscopic cholecystectomy.The clinical indicators,pain stress indicators,and complications were compared between the two groups.Results The intraoperative blood loss in the observation group was lower than that in the control group.The intraoperative blood loss,gastrointestinal function recovery time,hospitalization time,operation time,and time of getting out of bed were shorter than those in the control group.After that,the levels of cortisol(Cor)and epinephrine(E)in the two groups were higher than before surgery,but the observation group was lower than the control group,the difference was statistically significant(P<0.05);the incidence of complications in the observation group was 5.00%(2/40)was lower than 22.50%(9/40)in the control group,and the difference was statistically significant(P<0.05).Conclusions Laparoscopic cholecystectomy has less trauma,can effectively alleviate postoperative pain and stress response in patients with gallstones,accelerate postoperative recovery,and has high safety.
作者
吴胜华
Wu Shenghua(The People's Hospital of Danzhai County,Danzhai,Guizhou557500)
出处
《基层医学论坛》
2020年第25期3579-3581,共3页
The Medical Forum
关键词
胆结石
腹腔镜下胆囊切除术
临床疗效
并发症
Gallstones
Laparoscopic cholecystectomy
Clinical effect
Complications
