腹腔镜用于胆石症治疗中临床价值分析  

Clinical value analysis of laparoscopy in treatment for cholelithiasis

作　　者：严海兰 

机构地区：[1]江苏民政康复医院外科,江苏南京210003

出　　处：《中国当代医药》2017年第16期42-44,共3页China Modern Medicine

摘　　要：目的探讨腹腔镜用于胆石症治疗中的临床价值。方法选取2015年10月~2016年10月我院诊治的胆石症患者112例,采用随机数字表法分为两组,对照组56例实施开腹手术治疗,观察组56例实施腹腔镜手术治疗,比较两组患者的手术指征、术后恢复情况、并发症的发生情况。结果观察组患者手术时间[(103.2±14.8)min]、术中出血量[(11.6±2.3)ml]、术后住院时间[(7.3±1.2)d]少于对照组[(117.9±15.1)min、(45.8±6.2)ml、(10.9±1.8)d]。观察组患者结石取净率(100.0%)高于对照组(92.9%)。观察组患者术后排气时间[(28.6±1.9)h]、术后排便时间[(35.8±2.6)h]、术后下床时间[(41.6±2.2)h]早于对照组[(34.7±2.8)、(43.5±3.1)、(52.8±2.5)h]。观察组患者并发症发生率(1.8%)低于对照组(12.5%)。差异均有统计学意义(P<0.05)。结论腹腔镜手术治疗胆石症的疗效显著,具有创伤小、术后恢复快、安全性高等特点。Objective To investigate clinical value of laparoscopy in treatment for cholelithiasis.Methods 112 patients with cholelithiasis were selected in hospital from October 2015 to October 2016,who were divided into two groups by random number table method.56 patients received open surgery as control group.56 patients received laparoscopic surgery as observation group.Operation indications,postoperative recovery and complications were compared between two groups.Results Operation time [（103.2±14.8）min, intraoperative blood loss [（11.6±2.3）ml],postoperative hospitaliza- tion time [（7.3±1.2）d] in observation group were less than those in control group [（117.9±15.1）min,（45.8±6.2）ml,（10.9± 1.8）d].Stone extraction rate （100.0%） in observation group was higher than that in control group （92.9%）.Postoperative exhaust time [（28.6±1.9）h], postoperative defecation time [（35.8±2.6）h],postoperative bed time [（41.6±2.2）h] in observa- tion group were earlier than control group [（34.7±2.8）,（43.5±3.1）,（52.8±2.5）h].Complication rate （1.8%） in observation was lower than that in control group（12.5%）.Differences were statistically significant（P〈0.05）.Conclusion Laparoscopie surgery has significant effect in treatment for cholelithiasis,which has the characteristics of smaller trauma, faster post- operative recovery and higher safety.

关 键 词：腹腔镜 胆石症 临床价值 开腹手术 

分 类 号：R657.4[医药卫生—外科学]