探讨腹腔镜切除胆囊息肉样病变与开腹治疗胆囊息肉的疗效  

To Explore the Curative Effect of Laparoscopic Cholecystectomy and Open Cholecystectomy for the Treatment of Gallbladder Polyps

作　　者：穆速 

机构地区：[1]商丘市第一人民医院腹腔镜外科,河南商丘476100

出　　处：《中国继续医学教育》2016年第9期46-48,共3页China Continuing Medical Education

摘　　要：目的探讨腹腔镜切除胆囊息肉样病变与开腹治疗胆囊息肉的疗效。方法我院普外科门诊部纳入择期手术治疗的胆囊息肉患者共100例,根据治疗方法的不同对患者进行分组治疗,各组人数相等,且一般资料分析比较差异无统计学意义。对照组患者实施传统的开腹手术治疗;观察组患者则以腹腔镜切除术进行治疗,分析比较两组患者的治疗效果。结果 (1)手术实施情况:观察组患者的手术时间、术中出血量等指标均优于对照组(P<0.05);(2)术后恢复情况:观察组患者的术后疼痛评分、肠道功能恢复时间、住院时间等指标优于对照组(P<0.05)。结论腹腔镜切除胆囊息肉病变较传统的开腹手术治疗相比较具有明显临床优势,疗效及安全性均值得肯定。Objective To explore the curative effect of laparoscopic cholecystectomy and open cholecystectomy for the treatment of gallbladderpolyps. Methods In general surgery department of our hospital outpatient department into elective surgical treatment in patients with gallbladder polyps, a total of 100 cases, according to the different treatment of patients were divided into two groups, equal numbers of each group and general data analysis no statistical difference. Patients in the control group were treated with traditional open surgery, the patients in observation group were treated by laparoscopic resection, and the treatment effect of the two groups were analyzed and compared. Results（1） Operation implementation： the observation group of patients in the operation time, intraoperative blood loss and other indicators are better than the control group（P0.05）.（2） The postoperative recovery： to observe the groups of patients with postoperative pain score, intestinal function recovery time, hospitalization time and other indicators is better than that of the controls（P0.05）. Conclusion Laparoscopic cholecystectomy has obvious clinical advantages compared with the traditional open surgery. The curative effect and safety of the gallbladder polyps are worthy of recognition.

关 键 词：腹腔镜 开腹手术 胆囊息肉 疗效 

分 类 号：R657[医药卫生—外科学]