胆结石采用小切口和腹腔镜胆囊切除治疗的效果比较  

Comparison of the Effect of Cholecystectomy With Small Incision and Laparoscopic Cholecystectomy

作　　者：黄六一[1] HUANG Liuyi(The First Surgical Department, Xinyi City Railway Hospital of Jiangsu Province, Xinyi Jiangsu 221400, China)

机构地区：[1]江苏省新沂市铁路医院外一科,江苏新沂221400

出　　处：《中国继续医学教育》2017年第23期124-125,共2页China Continuing Medical Education

摘　　要：目的分析比较在胆结石患者中应用小切口和腹腔镜进行胆囊切除的治疗效果。方法选取2014年1月—2017年7月在医院接受胆囊切除手术的胆结石患者90例作为研究对象。入选患者根据手术方法进行分组,其中小切口组患者(45例)应用小切口手术治疗;腹腔镜组患者(45例)应用腹腔镜胆囊切除,对比两组患者的治疗效果。结果腹腔镜组患者的手术时间、住院时间、术后排气时间、术中出血量、术后并发症发生率、治疗总有效率与小切口组对比,差异均具有统计学意义(P<0.05)。结论在胆结石患者中应用腹腔镜进行胆囊切除术,在手术时间、术中出血量等方面具有优势,疗效确切,且安全性高。Objective To compare the efficacy of laparoscopic cholecystectomy with small incision in patients with gallstones. Methods 90 patients with gallstone undergoing cholecystectomy in the hospital from January 2014 to July 2017 were selected as the study subjects. The selected patients were divided into groups according to surgical techniques, and small incision patients （45 cases） were treated with small incision surgery. Laparoscopic cholecystectomy （45 cases） were performed with laparoscopic cholecystectomy, and the therapeutic effects of the two groups were compared. Results The operation time of laparoscopic group, hospitalization time, postoperative exhaust time, intraoperative bleeding volume, postoperative complication rate, the total efficiency of treatment with small incision group, the differences were statistically significant （P 〈 0.05）. Conclusion Laparoseopic cholecystectomy is used in patients with gallstones. It has advantages in terms of operation time and intraoperative blood loss. The curative effect is definite and safe.

关 键 词：胆结石 小切口 腹腔镜 胆囊切除术 临床疗效 

分 类 号：R657[医药卫生—外科学]