经脐单孔腹腔镜切除胆囊40例临床分析  

Clinical analysis of 40 cases of transumbilical single port laparoscopic cholecystectomy

作　　者：唐宗怀 国维克 韩亮[2] 程晓剑[3] 

机构地区：[1]安徽省铜陵市立医院外一科,244000 [2]安徽省铜陵市人民医院急诊外科 [3]安徽省铜陵市人民医院外一科

出　　处：《中国实用医药》2014年第15期28-30,共3页China Practical Medicine

摘　　要：目的探讨经脐单孔腹腔镜切除胆囊的临床效果和安全性。方法选取本院2010年2月～2014年1月收治的胆囊炎患者80例作为研究对象,并分为对照组和观察组,每组各40例。两组患者接受相同的围手术期护理和治疗,对照组患者采用传统三孔腹腔镜法切除胆囊,观察组患者接受经脐单孔腹腔镜切除胆囊。比较两组患者的手术时间、术中出血量、住院时间、术后并发症发生情况以及患者对疼痛和切口美观程度评价。结果两组患者术中出血量以及住院时间基本相同,但观察组患者手术时间较长,且观察组患者并发症发生率显著低于对照组,差异有统计学意义（P〈0.05）。观察组患者VAS疼痛评分低于对照组,且对腹部美观评分高于对照组,差异有统计学意义（P〈0.05）。结论经脐单孔腹腔镜切除胆囊效果在保证疗效的基础上,有助于降低并发症,减少患者痛苦,增加美观度,值得临床推广。Objective To explore the clinical efficacy and safety of transumbilical single port laparoscopic cholecystectomy. Methods Choosing 80 cholecystitis patients as research subjects from february 2010 from January 2014 and dividing them into control group and observation group, 40 cases in each group. Two groups of patients received the same perioperative care and treatment in the control group were treated with conventional three-hole laparoscopic cholecystectomy, observation group patients after laparoscopic cholecystectomy umbilical hole. Two groups were compared operative time, blood loss, hospital stay, postoperativecomplications, and patient assessment of pain and cuts beautifully occurred. Results The two groups of patients with blood loss and hospital stay basically the same, but the observation group were longer operative time, and complication rate in patients in the observation group was significantly lower than the control group, the difference was statistically significant（P〈0.05）. VAS pain scores of patients in the observation group than the control group, and the beautiful score higher on the abdomen, the difference was statistically significant（P〈0.05）. Conclusion Transumbilical single port laparoscopic cholecystectomyon on the basis of ensuring the efficacy, also can help reduce complications and suffering of patients and increase aesthetics, so it is worthy of clinical promotion.

关 键 词：经脐单孔腹腔镜 胆囊炎 并发症 

分 类 号：R657.4[医药卫生—外科学]