腹腔镜与开腹术治疗胆囊结石合并胆囊炎的临床疗效分析  

Analysis Curative Clinical Effect of Laparoscopic Surgerand Laparotomy Surger in Treatment of Gallstone Combine With Cholecystitis

作　　者：宗炜[1] 

机构地区：[1]江苏省扬州市江都中医院普外科,225200

出　　处：《中国继续医学教育》2015年第31期132-133,共2页China Continuing Medical Education

摘　　要：目的探析腹腔镜与开腹术治疗胆囊结石合并胆囊炎的临床疗效。方法选取100例胆囊结石合并胆囊炎的患者,将其分为两组,各50例。A组给予腹腔镜手术治疗,B组给予开腹手术治疗,对比两组患者各临床指标及并发症情况。结果 A组手术时间、术中出血量、切口长度(37.6±6.2)min、(50.9±11.2)ml、(3.4±1.2)cm较B组比较,P<0.05,差异具有统计学意义;A组下床活动时间、肠鸣音恢复时间、住院时间(23.9±3.1)h、(24.0±4.3)h、(4.8±2.1)d与B组比较,P<0.05,差异具有统计学意义。A组并发症率14.0%与B组的34.0%比较,P<0.05,差异具有统计学意义。结论胆囊结石合并胆囊炎患者采取腹腔镜手术治疗,减少了对患者的创伤,缩短了住院时间。Objective Analysis curative clinical effect of laparoscopic surgerand laparotomy surger in treatment of gallstone combine with cholecystitis.Methods Selected 100 cases of gallstone merger cholecystitis patients were divided into two groups, each group had 50 cases, the group Awith given laparoscopic surgery, the group Bwere given open surgery, compared the clinical index and complication of two groups.Results The group A operative time, blood loss, incision length were （37.6±6.2） minutes, （50.9±11.2） ml, （3.4±1.2） cmcompared with the group B,P〈0.05, was difference had statistically significance. The group A ambulation time, bowel sounds recovery time, hospital stay （23.9±3.1） hours, （24.0±4.3） hours, （4.8±2.1） days compared with the group B,P〈0.05, was difference had statistically significance. A complication probability was 14.0% compared with group B 34.0%,P〈0.05, was difference had statistically significance.Conclusion Cholecystolithiasis cholecystitis patients to take laparoscopic surgery, reducing trauma to the patient, shorter hospital stay.

关 键 词：腹腔镜 胆囊结石 胆囊炎 

分 类 号：R575.6[医药卫生—消化系统]