经脐单孔腹腔镜胆囊切除术临床应用研究  

Study on clinical application of transumbilical single-port laparoscopic cholecystectomy

作　　者：黄亚南 秦立国[2] HUANG Ya-nan;QIN Li-guo(Department of General Surgery,Kaiyuan Hospital of Traditional Chinese Medicine,Kaiyuan 112300,China)

机构地区：[1]开原市中医院普外科,112300 [2]铁岭卫生职业学院康复系,112000

出　　处：《中国实用医药》2019年第2期9-11,共3页China Practical Medicine

摘　　要：目的探讨经脐单孔腹腔镜胆囊切除术的临床应用效果。方法 109例行腹腔镜胆囊切除术患者,根据自愿原则分为观察组(50例)与对照组(59例)。观察组选择经脐单孔腹腔镜胆囊切除术治疗,对照组选择传统腹腔镜胆囊切除术治疗。比较两组临床指标、术后疼痛及镇痛用药情况、手术满意度、并发症发生情况。结果观察组术中出血量少于对照组,住院时间及术后排气时间短于对照组,但手术时间长于对照组,差异均具有统计学意义(P<0.05)。观察组术后疼痛评分(1.10±0.78)分明显低于对照组的(2.49±1.24)分,术后疼痛时间(1.65±0.47)d明显短于对照组的(2.39±0.82)d,差异均具有统计学意义(P<0.05);观察组镇痛用药率8.00%明显低于对照组的23.73%,差异具有统计学意义(P<0.05)。观察组外观满意度评分(4.96±0.35)分、机能满意度评分(4.89±0.12)分均明显高于对照组的(3.89±0.31)、(3.16±0.35)分,差异均具有统计学意义(P<0.05)。观察组并发症发生率为6.00%(3/50),明显低于对照组的22.03%(13/59),差异具有统计学意义(P<0.05)。结论经脐单孔腹腔镜胆囊切除术可有效改善临床指标,减轻患者痛苦,降低并发症发生率,有效提高患者的术后满意度,是安全可靠的手术方法。Objective To discuss the clinical effect of transumbilical single-port laparoscopic cholecystectomy. Methods A total of 109 patients with laparoscopic cholecystectomy were divided into observation group(50 cases) and control group(59 cases) according to voluntary principle. The observation group was treated with transumbilical single-port laparoscopic cholecystectomy, and the control group was treated with traditional laparoscopic cholecystectomy. Comparison were made on clinical indexes, postoperative pain, analgesic medication, surgical satisfaction, and occurrence of complications between the two groups. Results The observation group had less intraoperative bleeding volume than the control group, shorter hospitalization time and postoperative exhaust time than the control group, but longer operation time than the control group. Their difference was statistically significant(P<0.05). The observation group had obviously lower postoperative pain score as(1.10±0.78) points than(2.49±1.24) points in the control group, and obviously shorter postoperative pain time as(1.65±0.47) d than(2.39±0.82) d in the control group. Their difference was statistically significant(P<0.05). The observation group had obviously lower analgesic medication rate as 8.00% than 23.73% in the control group, and their difference was statistically significant(P<0.05). The observation group had obviously higher appearance satisfaction score as(4.96±0.35) points, functional satisfaction score as(4.89±0.12) points than(3.89±0.31) and(3.16±0.35) points in the control group, and their difference was statistically significant(P<0.05). The observation group had obviously lower incidence of complications as 6.00%(3/50) than 22.03%(13/59) in the control group, and the difference was statistically significant(P<0.05). Conclusion Transumbilical single-port laparoscopic cholecystectomy can effectively improve the clinical indicators, alleviate the pain of patients, reduce the incidence of complications, and effectively improve their satisfaction

关 键 词：经脐单孔 三孔 腹腔镜 胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]