腹腔镜胆囊切除术治疗胆结石的临床疗效  

The clinical efficacy of laparoscopic cholecystectomy on gallstone

作　　者：张安龙 ZHANG An-long(Tieling Hospital of Traditional Chinese Medicine,Tieling 112000,China)

机构地区：[1]铁岭市中医医院,112000

出　　处：《中国实用医药》2022年第10期37-39,共3页China Practical Medicine

摘　　要：目的 探析腹腔镜胆囊切除术治疗胆结石的临床效果。方法 60例胆结石患者,按照投硬币法分为常规组和实验组,每组30例。常规组患者采取小切口胆囊切除术治疗,实验组患者采取腹腔镜胆囊切除术治疗。比较两组患者手术用时、术中出血量、术后下床活动时间、住院天数,术后并发症发生情况,治疗效果。结果 实验组患者手术用时(32.47±2.83)min、术后下床活动用时(7.36±1.48)h、住院天数(4.52±0.81)d均短于常规组的(72.56±4.28)min、(25.32±2.62)h、(8.37±1.31)d,术中出血量(44.81±1.09)ml少于常规组的(150.36±1.74)ml,差异具有统计学意义(P<0.05)。实验组并发症发生率3.33%明显低于常规组的23.33%,差异具有统计学意义(χ^(=)5.192,P=0.023<0.05)。实验组患者治疗总有效率为96.67%,高于常规组的73.33%,差异具有统计学意义(χ^(=)6.405,P=0.011<0.05)。结论 采用腹腔镜胆囊切除术治疗胆结石的效果良好,且术后并发症发生率较低,同时减少患者的住院天数以及经济负担,值得临床广泛推广应用。Objective To discuss and analyze the clinical effect of laparoscopic cholecystectomy on gallstone.Methods A total of 60 patients with gallstones were divided into conventional group and experimental group according to the coin throwing method,with 30 cases in each group.Patients in the conventional group were treated with small-incision cholecystectomy,and patients in the experimental group were treated with laparoscopic cholecystectomy.The operation time,intraoperative blood loss,postoperative off-bed activity time,hospitalization time,postoperative complications,and therapeutic effects were compared between the two groups.Results In the experimental group,the operation time(32.47±2.83) min,the postoperative off-bed activity time(7.36±1.48) h,and the hospitalization time(4.52±0.81) d were shorter than(72.56±4.28) min,(25.32±2.62) h,and(8.37±1.31) d in the conventional group;the intraoperative blood loss(44.81±1.09) ml was less than(150.36±1.74) ml in the conventional group;all the differences were statistically significant(P<0.05).The complication rate in the experimental group was 3.33%,which was significantly lower than 23.33% in the conventional group,and the difference was statistically significant(χ^(=)5.192,P=0.023<0.05).The total effective rate in the experimental group was 96.67%,which was higher than 73.33% in the conventional group,and the difference was statistically significant(χ^(=)6.405,P=0.011<0.05).Conclusion Laparoscopic cholecystectomy is effective in the treatment of gallstones,and the postoperative complication rate is low,while reducing the number of days of hospitalization and the economic burden of patients.It is worthy of widespread clinical promotion and application.

关 键 词：腹腔镜 胆囊切除术 胆结石 

分 类 号：R657.42[医药卫生—外科学]