摘要
目的本次试验将采用腹腔镜胆囊切除术治疗胆囊结石并胆囊炎,分析手术治疗的临床效果。方法本次试验选取了2019年1月至2019年7月前来本院就诊的患者,其均为胆囊结石并胆囊炎,在自愿参与试验调查的基础上选取了58例患者作为调研对象。为了保证公平性,采用随机法分组。对照组患者采用开腹胆囊切除术,观察组则采用腹腔镜胆囊切除术,对两组的治疗成效进行对比分析。结果从手术质量上看,观察组患者手术治疗的并发症发生率为10.34%(3/29),对照组为17.24%(5/29),组间对比差异较为显著,具有统计学意义(P<0.05)。主要并发症为感染,即切口感染和呼吸道感染,其次则为胆漏。在手术时间、住院时间、手术后下床活动时间、肠鸣音恢复时间以及疼痛度的对比分析中,均以观察组的治疗成效更为优异。在手术时间的控制上,观察组为(35.21±8.82)min,对照组则为(48.33±6.54)min;观察组手术后下床活动时间为(15.32±5.13)h,对照组为(27.51±9.11)h;在肠鸣音恢复时间以及住院时间上,观察组为(23.24±4.57)h和(6.31±1.17)d,对照组则为(45.20±8.78)h和(11.29±0.60)d。在疼痛度的评分中,观察组为(2.31±0.92)分,对照组则为(6.33±1.54)分。与对照组相比,观察组患者的手术方案更佳。结论采用腹腔镜胆囊切除术治疗胆囊结石并胆囊炎效果显著,有利于推动手术的顺利进行,并能够节约手术时间,在手术安全性上给予了患者更多的保障。
Objective This experiment will use laparoscopic cholecystectomy to treat cholecystolithiasis and cholecystitis,and analyze the clinical effect of surgical treatment.Methods Fifty-eight patients with cholecystolithiasis and cholecystitis who came to our hospital from January 2019 to July 2019 were selected as the subjects of this study on the basis of voluntary participation in the experimental investigation.In grouping,in order to ensure fairness,it is random grouping.The control group was treated with open cholecystectomy,while the observation group was treated with laparoscopic cholecystectomy.Results From the perspective of operation quality,the complication rate of the observation group was 10.34%(3/29),and that of the control group was 17.24%(5/29),with significant difference between the two groups(P<0.05).The main complications are infection,namely incision infection and respiratory tract infection,followed by biliary leakage.In the comparative analysis of operation time,hospital stay,postoperative ambulation time,bowel sound recovery time and operation pain,the treatment effect of the observation group was better than control group.In the control of operation time,the observation group was(35.21±8.82)min and(48.33±6.54)min;the time of getting out of bed after surgery in the observation group was(15.32±5.13)h,and in the control group was(27.51±9.11)h;in the bowel sound recovery time and hospitalization time,the observation group was(23.24±4.57)h and(6.31±1.17)d and(45.20±8.78)h and(11.29±0.60)d.In the pain score,the observation group was(2.31±0.92)in the control group and(6.33±1.54).Compared with the control group,the operation plan of the observation group was better.Conclusion Laparoscopic cholecystectomy for cholecystolithiasis and cholecystitis has a significant effect,which is conducive to promoting the smooth operation,saving operation time and providing more security in operation.
作者
贾迎光
JIA Yingguang(Department of General Surgery,Second People's Hospital of Beizhen City,Beizhen 121308,China)
出处
《中国医药指南》
2021年第11期111-112,共2页
Guide of China Medicine
关键词
腹腔镜胆囊切除术
胆囊结石
胆囊炎
疗效观察
Laparoscopic cholecystectomy
Cholecystolithiasis
Cholecystitis
Efficacy observation
