经脐单切口腹腔镜胆囊切除术治疗结石性胆囊炎的效果观察  

Effect observation of the umbilical single incision laparoscopic cholecystectomy treatment of calculous cholecystitis

作　　者：魏鹏[1] 钱吉泽[1] 王鑫[1] 

机构地区：[1]山东省德州市人民医院,山东德州253000

出　　处：《中国当代医药》2013年第10期195-196,共2页China Modern Medicine

摘　　要：目的探讨经脐单切口腹腔镜胆囊切除术治疗结石性胆囊炎的临床效果。方法将本院收治的110例结石性胆囊炎患者随机分为观察组和对照组,每组各55例,对照组给予传统的三孔法腹腔镜胆囊切除术,观察组给予经脐单切口腹腔镜胆囊切除术,对两组患者的手术时间、住院时间、并发症、术后应用镇痛药、切口疼痛评分进行比较。结果观察组患者的手术时间高于对照组,两组间差异有统计学意义(P<0.05);而观察组患者的切口疼痛评分、术后应用镇痛药明显优于对照组,两组间比较,差异有统计学意义(P<0.05);两组间的并发症、住院时间差异无统计学意义(P>0.05)。结论经脐单切口腹腔镜胆囊切除术治疗结石性胆囊炎疗效显著,术后切口疼痛轻。Objective To investigate the clinical effect of umbilical single incision laparoscopic cholecystectomy treatment calculous ch01ecystitis. Methods One hundred and ten cases of calculous cholecystitis in our hospital were randomly divided into observation group and control group, each group of 55 cases, the control group was given traditional three hole method laparoscopic cholecystectomy treated, observation group was given the umbilical single incision laparoscopic cbolecystectomy treated, the operative time, length of hospital stay, postoperative complications, application of analgesic, incision pain score was compared between the ＂two groups. Results The surgical time in observation group was higher than those in the control group, the difference between the two groups had statistical significance （P 〈 0.05）; The incision pain score, postoperative application analgesics in observation group was obviously superior to the control group, comparison, the difference was statistically significant between the two groups （P 〈 0.05）; The complications, the length of time between the two groups, the difference was not statistically significant （P 〉 0.05）. Conclusion The umbilical single incision laparoscopic cholecystectomy treatment calculous cholecystitis curative effect is distinct, postoperative incision pain is light.

关 键 词：腹腔镜 胆囊切除术 结石性胆囊炎 效果观察 

分 类 号：R575.6[医药卫生—消化系统]