腹腔镜微创疗法与开腹手术治疗胆囊结石并胆囊炎的疗效对比分析  

作　　者：李晓华 

机构地区：[1]江西省万年县中医院腹部外科,335500

出　　处：《当代医学》2013年第3期55-56,共2页Contemporary Medicine

摘　　要：目的比较腹腔镜微创疗法与开腹手术治疗胆囊结石并胆囊炎的疗效。方法本文选取了2009年7月～2012年7月间入院治疗的172例胆囊结石并胆囊炎患者为研究对象,针对相关患者的治疗结果进行了比较分析。结果两组患者手术过程中相关情况比较,在切口长度、术中流血量、手术时间等方面,微创组各项指标均优于开腹组,且组间比较,P均<0.05,差异具有统计学意义;两组患者手术后恢复情况比较,在肠鸣音恢复时间、使用止痛剂的比例、术后下床活动时间、住院时间等方面,微创组各项指标均优于开腹组,且组间比较,P均<0.05,差异具有统计学意义。结论腹腔镜微创疗法与开腹手术相比较在治疗胆囊结石并胆囊炎的过程中优势明显,是临床治疗胆囊结石并胆囊炎的可靠选择。Objective To compare the efficacy of the comparative efficacy of laparoscopic minimally invasive therapy and versus laparotomy in the treatment of acute cholecystitis. Methods 172 cases of acute cholecystitis from July 2009 to July 2012 for treatment in our hospital were chosen as the research object. The related patient outcomes were taken for a comparative analysis. Results The relevant circumstances in the two groups of patients during surgery were compared. In the incision length, intraoperative bleeding and operative time, the indicators in the minimally invasive group were better than the laparotomy group. Compared between groups, P 〈0.05, the difference was with statistical significance. The surgery recovery for the two groups were compared, the bowel sounds, using the proportion of analgesics, postoperative ambulation time, hospitalization time, the indicators in the minimally invasive group were better than versus laparotomy group. Compared between groups, P 〈0.05, the difference was statistically significant. Conclusion The advantage of the comparative efficacy of laparoscopic minimally invasive therapy and versus laparotomy in the treatment of acute cholecystitis is obvious. It is the reliable choice of the clinical treatment of acute cholecystitis.

关 键 词：腹腔镜微创疗法 开腹手术治疗 胆囊结石并胆囊炎 疗效对比 

分 类 号：R657.4[医药卫生—外科学]