小切口胆囊切除术的临床研究  

Clinical study on minicholecystectomy

作　　者：肖公正[1] 张予平[1] 韩宝华[1] 王磊[1] 李晓军[1] 张光鑫[1] 茅允成 

机构地区：[1]解放军第五医院,宁夏银川750001

出　　处：《西北国防医学杂志》2001年第3期253-254,共2页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的 :评价肋下三角小切口行小切口胆囊切除术 (简称MC)的优缺点。方法 :自 1 995-0 5～ 2 0 0 0 -0 3应用作者设计的肋下三角小切口对 1 2 3 5例胆囊疾病患者施行了MC ,观察术后疼痛及止痛针应用次数、下床、进食及住院时间 ,与传统开腹胆囊切除术 (简称CC)进行对照观察。结果 :MC手术时间短 ,术后疼痛轻 ,平均应用止痛针 0 .8次 /例 ,术后 8～ 1 2h下床 ,2 4h内进食 ,6.5d出院 ,明显优于CC手术 (P <0 .0 1 )。结论 :肋下三角小切口行小切口胆囊切除术是一种损伤小、病人痛苦轻、预后好、恢复快、费用低的手术方法 ,值得推广。Objective:To asses the advantages and shortages of minicholecystectomy (MC) through left inferocostal triangle small incision.Methods:1 235 minicholecystectomies were operated through left inferocostal triangle small incision devised by the authors from May 1995 to March 2000.The postoperative pain,times of injecting dolandtin,time of getting off bed,time of beginning to take food and days in hospital were observed and compared with the cases by conventional cholescystectomy(CC).Results:MC operation took shorter time,caused lower degree postoperative pain,the mean injections of dolantin was 0.8 times percase.The patients got off bed 8～12 hours after operation,began to take food within 24 hours and were discharged from hospital after 6.5 days.Their complication was less and slighter.Conclusion:Minicholecystectomy is a kind of small damaging,less suffering and low cost operation and is worth to be spread widely.

关 键 词：胆囊切除术 三角小切口 临床研究 MC 

分 类 号：R657.4[医药卫生—外科学]