腹腔镜与直视微创胆囊切除术对胆囊炎性疾病的治疗效果  

Curative effect of laparoscopic and direct minimally invasive cholecystectomy on cholecystitis

作　　者：李永宏 LI Yong-hong(the People's Hospital of Fu County,Yan'an 7 2 7 5 0 0,China)

机构地区：[1]陕西富县人民医院,陕西延安727500

出　　处：《临床医学研究与实践》2018年第8期60-61,共2页Clinical Research and Practice

摘　　要：目的探讨腹腔镜与直视下微创胆囊切除术在胆囊炎性疾病中的治疗效果。方法选取2016年5月至2017年5月我院接诊的88例胆囊炎性疾病患者,将其按照数字随机表法分为研究组与对照组,每组44例。研究组患者进行直视微创胆囊切除术,对照组进行腹腔镜胆囊切除术。对比两组患者的手术情况和术后恢复情况。结果研究组患者的手术时间、肛门排气时间、下床活动时间均明显短于对照组(P<0.05);研究组患者的术中出血量、住院时间略优于对照组,但组间差异不显著(P>0.05)。对照组患者治疗期间无严重并发症发生;研究组出现1例胆总管狭窄,1例胆总管横断,均经相关治疗后好转。结论与腹腔镜手术相比,直视下微创胆囊切除术的术后恢复时间更短,有利于缩短患者的住院时间,值得推广使用。Objective To investigate the effects of laparoscopic and direct minimally invasive cholecystectomy on cholecystitis.Methods A total of 88 cases of cholecystitis in our hospital from May 2016 to May 2017 were selected and divided into the study group and the control group according to the random number table method,with 44 cases in each group.The study group received direct minimally invasive cholecystectomy,and the control group received laparoscopic cholecystectomy.The operation conditions and postoperative recovery of the two groups were compared.Results The operation time,anal exhaust time,ambulation time in the study group were significantly shorter than those in the control group(P<0.05).There were no significant differences in the amount of bleeding and the length of stay between the two groups(P>0.05).No severe complications occurred during the treatment period in the control group;there were 1 case of stenosis of common bile duct and 1 case of choledochal transection in the study group,both improved after related treatment.Conclusion Compared with laparoscopic surgery,the direct minimally invasive cholecystectomy has shorter postoperative recovery time,and is beneficial to shorten the length of hospital stay,which is worthy of popularization and application.

关 键 词：腹腔镜 直视下微创胆嚢切除术 胆嚢炎性疾病 

分 类 号：R657.4[医药卫生—外科学]