腹腔镜胆囊切除术与传统开腹胆囊切除术治疗胆囊结石临床疗效比较  

The clinical effect of laparoscopic cholecystectomy and open cholecystectomy surgical treatment with cholecystolithiasis

作　　者：吴卫国[1] 程平[1] 刘安成[1] 刘学礼[1] 胡涛[1] 张俊生[1] 王伟[1] 

机构地区：[1]安徽省阜南县人民医院外二科,阜南226300

出　　处：《肝胆外科杂志》2013年第6期457-458,共2页Journal of Hepatobiliary Surgery

摘　　要：目的比较腹腔镜胆囊切除术与开腹胆囊切除术两种术式治疗胆囊结石的临床疗效。方法选取2012年5月至2013年3月我院行手术治疗胆囊结石患者120例,其中60例行腹腔镜胆囊切除术作为观察组,开腹胆囊切除术手术治疗60例作为对照组。观察并比较两组临床疗效结果。结果研究组术中出血量少于对照组,手术时间、胃肠道功能恢复时间及术后住院时间短于对照组,两组比较,差异有统计学意义(P<0.05);对照组、观察组术后并发症发生率分别为20%、5.0%,差异有统计学意义(P<0.05)。结论腹腔镜胆囊切除术具有创伤小、恢复快、住院时间短和并发症少等优点,值得临床推广。Objective To compare the clinical effect of laparoscopic cholecystectomy and open cholecystectomy surgical treat- ment with cholecystolithiasis. Methods 120 patients diagnosed as gallbladder stone in our hospital from May 2012 to March 2013 were selected and randomly divided into experimental group and control group. 60 cases in experimental group were treated with laparo- scopic cholecystectomy, 60 cases in control group were received conventional open cholecystectomy, the clinical effect were observed and compared by the two groups. Results The bleeding amount of the research group was less than that of the control group. And the operation time, recovery time of gastrointestinal functions and postoperative hospitalization stay in the research group was shorter than that in the control group, and the difference between two groups had statistical significance（ P 〈 0.05 ）. The incidence rate of complica- tions after operation for the control group and the research group was respectively 20.0% and 5.0% , which had statistical significance （P 〈 0.05 ）. Conclusion laparoscopic cholecystectomy in the treatment of gallbladder stone has its advantages as minimal injury, quick recovery, shorter hospitalization time and fewer post-operative complications and it＇s worth of clinical use.

关 键 词：腹腔镜胆囊切除术 开腹胆囊切除术 胆囊结石 

分 类 号：R575[医药卫生—消化系统]