腹腔镜胆囊切除术与开腹手术治疗胆结石的临床效果  

Clinical effect of laparoscopic cholecystectomy and laparotomy in the treatment of gallstone

作　　者：柳利[1] 

机构地区：[1]内蒙古自治区巴彦淖尔市医院,内蒙古巴彦淖尔015000

出　　处：《中国现代医生》2018年第1期43-45,共3页China Modern Doctor

摘　　要：目的比较腹腔镜胆囊切除术和开腹手术对胆结石的临床效果。方法选取2016年1月~2017年7月于我院治疗胆结石的74例患者作为研究对象,根据治疗方法将患者分成采用常规开腹手术治疗的对照组(37例)与采用腹腔镜胆囊切除术治疗的观察组(37例),对两组患者的手术治疗时间、手术出血量、住院天数、术后排气时间以及术后并发症等相关情况进行观察并比较。结果采用腹腔镜胆囊切除术治疗的观察组手术治疗时间为(55.9±4.1)min,术中出血量为(44.2±9.3)m L,住院天数为(5.4±1.2)d,术后排气时间为(10.9±2.6)h。对照组手术治疗时间为(74.1±3.9)min,术中出血量为(61.8±8.6)m L,住院天数为(8.1±2.4)d,术后排气时间为(24.7±3.6)h。观察组上述指标均显著优于对照组(P均<0.05),此外观察组术后并发症发生率为13.51%,显著低于对照组的27.73%(P<0.05)。结论腹腔镜胆囊切除术与常规开腹手术相比,能够在保证胆结石患者治疗效果的基础上,缩短治疗时间,减少对患者的创伤,加速恢复时间,减少术后并发症,安全有效,值得推广。Objective To compare the clinical effect of laparoscopic cholecystectomy and laparotomy on gallstone. Methods A total of 74 patients with gallstones treated in our hospital from January 2016 to July 2017 were selected and divided into the control group（n=37） undergoing conventional laparotomy and the observation group（n=37） undergoing laparoscopic cholecystectomy. The surgical treatment time, the amount of operation bleeding, hospitalization days, postoperative exhaust time and postoperative complications were observed and compared. Results The surgical treatment time of the observation group treated with laparoscopic cholecystectomy was（55.9±4.1） min, the blood loss was （44.2±9.3） mL, the length of hospital stay was （5.4±1.2） days, and the postoperative exhaust time was （10.9±2.6） h. The operation time of the control group was（74.1±3.9） min, the intraoperative blood loss was（61.8±8.6） mL, the length of hospitalization was （8.1±2.4） days and the postoperative exhaust time was （24.7±3.6） h. The above indexes in the observation group were significantly better than those in the control group（all P〈0.05）. In addition, the postoperative complication rate in the observation group was 13.51%, which was significantly lower than that in the control group（27.73%, P〈0.05）. Conclusion Compared with conventional laparotomy, laparoscopic cholecystectomy can shorten the treatment time, reduce the trauma to patients, accelerate the recovery time, reduce the postoperative complications, and is safe and effective on the basis of ensuring the therapeutic effect of gallstone patients, which is worthy of promotion.

关 键 词：腹腔镜手术 开腹手术 胆结石 胆囊切除 并发症 

分 类 号：R657.4[医药卫生—外科学]