摘要
目的:探讨和分析腹腔镜胆囊切除术治疗胆结石的临床疗效。方法:2011年3月-2013年5月收治胆结石患者74例,随机分为对照组和观察组,每组37例。对照组采取传统开腹胆囊切除术治疗,观察组采取腹腔镜胆囊切除术治疗,观察比较两组手术时间、术中出血量、住院时间、肛门排气时间、术后并发症及临床疗效。结果:经不同手术方法治疗后,观察组总有效率94.6%,明显优于对照组总有效率73.05,组间比较差异有统计学意义(P<0.05);两组各项指标比较,观察组明显优于对照组,组间比较差异有统计学意义(P<0.05);术后两组并发症发生率比较,观察组并发症发生率10.8%,明显低于对照组并发症发生率29.7%,组间比较差异有统计学意义(P<0.05)。结论:对于胆结石患者,采用腹腔镜胆囊切除术治疗,能够明显缩短手术时间,减少术中出血量,而且术中痛苦小,并发症发生率低,临床疗效确切,值得临床推广及应用。
Objective:To investigate and analyse the therapeutic effect of laparoscopic cholecystectomy for gallstones.Methods:7cases with gallstone were selected from March 2011 to May 2013.They were randomly divided into the control group and thobservation group with 37 cases in each.The control group were treated with traditional open cholecystectomy.The observatiogroup were adopted laparoscopic cholecystectomy.Then observe and compare operation time,intraoperative blood losshospitalization time,anal exhaust time,postoperative complications and clinical efficacy in two groups.Results:After the treatmenof different operation methods,the total efficiency of observation group was 94.6%,and it was significantly better than the controgroup with the total efficiency of 73.05%,and there was statistical significance between the two groups(P<0.05).When comparethe indicators of two groups,the observation group were better than the control group,and the difference were statisticallsignificante between the two groups(P<0.05).Compared postoperative complications rate of two groups,the observation group wa10.8%,significantly lower than the control group with the complications rate of 29.7%,and the difference were statisticallsignificante between the two groups(P<0.05).Conclusion:In the treatment on patients with gallstones,laparoscopicholecystectomy can significantly shorten the operation time,bleeding less.Intraoperative pain is small.The rate of complicationlow.It also had curative clinical effect,so it is worthy of clinical promotion and application.
关键词
腹腔镜
胆囊切除术
胆结石
临床疗效
Laparoscope
Cholecystectomy
Gallstone
Clinical effect
