腹腔镜胆囊切除术与开腹胆囊切除术疗效比较  

Clinical effect of laparoscopic cholecystectomy and laparotomy surgical treatment with cholecystolithiasis

作　　者：张全轴 

机构地区：[1]南京市六合区中医院外科,江苏211500

出　　处：《齐齐哈尔医学院学报》2015年第24期3656-3658,共3页Journal of Qiqihar Medical University

摘　　要：目的比较腹腔镜胆囊切除术与开腹胆囊切除术的临床治疗效果。方法收治胆囊结石患者102例,其中采取四孔法腹腔镜胆囊切除术(腔镜组)50例,采取传统开腹胆囊切除术(对照组)52例,比较两组患者的手术时间、术中出血量、术后首次下床时间、术后通气时间、引流管拔除时间、术后住院时间以及术后并发症发生率。结果腔镜组手术时间平均(61.36±10.23)min,术中出血量(21.04±5.44)ml,术后通气时间(1.70±0.64)d,引流管拔除时间(2.26±0.44)d,术后平均住院时间(3.26±0.44)d。对照组手术时间平均为(80.08±8.44)min,术中出血量为(76.12±7.43)ml,术后通气时间为(3.08±0.75)d,腔镜组上述指标均优于对照组,差异均有统计学意义(P<0.05)。结论在具备良好的腹腔镜手术技术的基础上行腹腔镜胆囊切除术是安全有效的,值得在基层医院推广。Objective To compare the clinical effect of laparoscopic cholecystectomy and laparotomy surgical treatment with cholecystolithiasis.Methods A total of 102 patients diagnosed as gallbladder stone in our hospital were selected and randomly divided into experimental group and control group.50 cases in experimental group were treated with four-hole laparoscopic cholecystectomy, 52 cases in control group were received conventional open cholecystectomy.The clinical effect were observed and compared by the two groups.Results In the experimental group, the mean operative time （61.36 ±10.23） min, the bleeding amount （21.04 ±5.44） ml, postoperative ventilation time （1.70 ±0.64） d, drainage tube removal time （2.26 ±0.44） d, the mean postoperative hospital stay time （3.26 ±0.44） d, the results were better than the control group, the difference was statistically significant（P〈0.05）.Postoperative complications had no statistically significant.Conclusions Laparoscopic cholecystectomy in the treatment of gallbladder stone is safe and worth of clinical use in primary hospital.

关 键 词：胆囊结石症 腹腔镜 开腹 胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]