腹腔镜下保胆取石术治疗胆囊结石的应用效果观察及评估  

Observation and Evaluation of the Effect of Laparoscopic Gallbladder Preserving Lithotomy for Cholecystolithiasis

作　　者：黄建峰[1] 黄强[1] 

机构地区：[1]湖北民族学院附属民大医院肝胆外科,恩施445000

出　　处：《中国医药导刊》2017年第5期460-461,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探究腹腔镜下保胆取石术治疗胆囊结石的应用效果。方法:抽取来我院就医的50例胆囊结石患者作为此次实验的目标对象,结合患者手术意愿对50例患者进行分组。对照组24例患者应用开腹保胆取石术治疗,实验组26例患者应用腹腔镜下保胆取石术治疗,对比两组胆囊结石患者的手术时间、术后排气时间、住院时间、术后止痛药使用率及并发症发生率。结果:实验组胆囊结石患者的手术时间显著长于对照组,P<0.05,但术后排气时间、住院时间显著短于对照组,P<0.05;对照组术后止痛药使用率及并发症发生率分别为83.33%、29.17%,显著高于实验组,P<0.05。结论:对胆囊结石患者采取腹腔镜下保胆取石术治疗切实可行,临床效果较显著。Objective：To investigate the application effect of laparoscopic gallbladder preserving lithotomy in the treatment of cholecystolithiasis.Methods：50 cases of gallstone patients in our hospital were selected as the object of this experiment,and the patients were divided into two groups according to the intention of operation of the patients in this study.The control group of 24 cases of patients with open lrcl treatment,experimental group 26 cases of patients with laparoscopic cholecystolithotomy treatment,operative time,contrast the two groups of patients with gallstones exhaust time,hospitalization time,postoperative analgesic use rate and complication rate.Results：The operation time of the experimental group of patients with gallstone was significantly longer than the control group,P 〈 0.05,but the postoperative exhaust time,hospitalization time was significantly shorter than the control group,P 〈 0.05;control group,postoperative analgesic use rate and complication rate were 83.33%,29.17%,significantly higher than the experimental group,P 〈 0.05.Conclusion：Laparoscopic cholecystectomy for patients with gallbladder stones is feasible and effective.

关 键 词：腹腔镜 保胆取石术 胆囊结石 

分 类 号：R657.42[医药卫生—外科学]