腹腔镜微创疗法与开腹手术治疗胆囊结石并胆囊炎的疗效对比分析  

The clinical effect of minimally invasive laparoscopic cholecystectomy and open surgery on cholecystolithiasis patients with cholecystitis

作　　者：刘宝国 

机构地区：[1]枣庄市山亭区人民医院外一科,山东枣庄277200

出　　处：《临床医药文献电子杂志》2017年第17期3191-3192,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨对胆囊结石合并胆囊炎患者行腹腔镜微创手术和开腹手术的临床效果比对。方法将2014年1月~2016年1月我院收治的96例胆囊结石合并胆囊炎患者作为研究对象,根据抛硬币法进行分组,正面为对照组,反面为实验组,各48例。对照组行开腹手术,实验组行腹腔镜微创手术,观察并比较两组发生不良反应几率以及相关手术指标。结果实验组发生不良反应几率2例(4.17%)显著低于对照组11例(22.92%),实验组切口长度、手术时间、术中流血量、肠鸣音恢复时间、术后下床时间以及住院时间均优于对照组。且对照均存在(P<0.05),有统计学上的意义。结论对胆囊结石合并胆囊炎患者行腹腔镜微创手术,不仅能够缩短手术时间、切口长度、术中出血量、住院时间等,还能够降低发生不良反应的发生几率。Objective To explore the clinical effect of minimally invasive laparoscopic cholecystectomy and open surgery on cholecystolithiasis patients with eholecystitis. Methods A total of 96 patients with cholecystitis and cholecystitis treated in our hospital from January 2014 to January 2016 were enrolled in the study. They were divided into four groups according to the coin method： positive control group and experimental group. In the control group, laparoscopic minimally invasive surgery was performed. The incidence of adverse reactions and the related operative indexes were observed and compared between the two groups. Results The incidence of adverse reactions was significantly lower in the two groups （4.17%） than in the control group （22.92%）. The incision length, operation time, intraoperative blood loss, recovery time, postoperative bedtime And hospital stay were better than the control group. And the control there were P〈0.05, a statistically significant. Conclusion Minimally invasive laparoscopic eholecystectomy with eholecystolithiasis can not only shorten the operative time, incision length, blood loss, hospital stay, but also reduce the occurrence of adverse reactions.

关 键 词：腹腔镜微创手术 开腹手术 胆囊结石 胆囊炎 

分 类 号：R657.4[医药卫生—外科学]