腹腔镜与开腹保胆取石手术治疗胆囊结石效果对比研究  

Comparison of Laparoscopic and Open Gall-preservingCholelithotomy for Cholecystic Lithiasis

作　　者：金昌国[1] 胡浩[1] 艾向南[1] 魏小军[1] 易文 欧阳才国[1] 赵婷婷 JIN Chang-guo;HU Hao;AI Xiang-nan;WEIXiao-jun;YI Wen;OUYANG Cai-guo;ZHAO Ting-ting(Aerospace Central Hospital,Beijing,China,100049)

机构地区：[1]航天中心医院肝胆外科,北京100049 [2]河北北方学院附属第一医院急诊科

出　　处：《中国急救复苏与灾害医学杂志》2018年第8期757-759,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的比较腹腔镜下保胆取石术与传统开腹保胆取石术的效果差异。方法回顾性分析2014年6月一2017年5月在航天中心医院进行保胆取石术治疗的胆囊结石病例资料，分为腔镜保胆取石手术组（1aparoscopicgall—preserving cholelithotomy，LGPC）与开腹保胆取石手术组（open gall-preserving cholelithotomy，OGPC），比较两组手术安全性与有效性。结果共收集80例LGPC病例和100例OGPC病例。LGPC组术后镇痛药使用率低于OGPC组（P〈0．01），并发症发生率低于OGPC组（P〈0．05），术后住院时间短于OGPC组（P〈0．01），两组间手术时间、术中出血量、结石残余率、结石复发率差异无统计学意义（P〉0．05）。结论相比OGPC治疗胆囊结石，LGPC具有术后疼痛轻、恢复快、并发症少等优点，值得推广应用。Objective TO compare the outcome between laparoscopic gall-preserving cholelithotomy （LGPC）and open gall-preserving cholelithotomy （OGPC）in the treatment of cholecystic lithiasis. Methods Clinical data of cholecystic lithiasis patients undergoing gall-preserving cholelithotomy in Aerospace Central Hospital between June 2014 and May 2017 were analyzed retrospectively and all cases were divided into LGPC group and OGPC group to compare the safety and efficacy of operation. Results Clinical data of 80 cases of LGPC and 100cases of OGPC were collected. Less analgesic requirement （P〈0.01）, lower complication rate（P〈0.05）, shortened length of post-operative hospital stay （P〈 0.01 ）was found in LGPC group. While the amount of intraoperative blood loss, operation time, stone residual rate and recurrence rate were similar between the two groups（P〉0.05）. Conclusions Compare to OGPC, LGPC has the advantage of less pain, rapid recovery and lower complication rate in the treatment of cholecystic lithiasis, and it is worthy of promoting and applying preferentially.

关 键 词：胆囊结石 取石术 腹腔镜 并发症 复发率 

分 类 号：R651.1[医药卫生—外科学]