腹腔镜手术治疗胆囊颈管结石的方法与疗效分析  

Analysis of the methods and efficacy of laparoscopic surgery for gallbladder neck calculi

作　　者：杨孝成 Yang Xiao-cheng(Department of General Surgery,Xiao County People's Hospital,Suzhou 235200,Anhui,China)

机构地区：[1]萧县人民医院普外科,安徽宿州235200

出　　处：《医学食疗与健康》2022年第16期34-37,共4页Medical Diet and Health

摘　　要：目的:探讨腹腔镜手术在临床胆囊颈管结石患者治疗中的应用与效果。方法:回顾性分析我院收治的108例胆囊颈管结石患者的临床资料,根据其治疗方法不同将其分成甲乙两组,每组各54例,分别给予其传统开腹治疗与腹腔镜手术治疗,对比分析两组治疗效果。结果:乙组患者术中出血量、手术时间与术后肛门排气时间、抗生素应用时间以及住院时间,均显著少于甲组(P<0.05),且乙组患者术后VAS疼痛评分与并发症发生率同样显著低于甲组(P<0.05)。结论:根据临床胆囊颈管结石患者实际情况,给予其腹腔镜手术治疗,可明显缓解患者疼痛,减少术后并发症的发生,改善手术预后,整体效果显著,值得临床大力推广应用。Objective:To explore the application and effect of laparoscopic surgery in the treatment of patients with gallbladder neck stone.Methods:The clinical data of 108 patients with gallbladder neck calculi treated in our hospital were retrospectively analyzed.According to the different treatment methods,the patients were divided into two groups,54 cases in each group.They were treated with traditional open surgery and laparoscopic surgery respectively.Results:The intraoperative blood loss,operation time,postoperative anal exhaust time,antibiotic application time and hospital stay in group B were significantly less than those in group A(P<0.05),and the postoperative VAS pain score and complication rate in group B were also significantly lower than those in group A(P<0.05).Conclusions:According to the actual situation of patients with gallbladder neck stones,laparoscopic surgery can significantly relieve the pain of patients,reduce the occurrence of postoperative complications,improve the prognosis of surgery,the overall effect is significant,which is worthy of clinical promotion and application.

关 键 词：腹腔镜手术 胆囊颈管结石 术中出血量 传统开腹手术 泌尿系统感染 

分 类 号：R575[医药卫生—消化系统]