腹腔镜胆囊切除术治疗胆结石的效果观察  

Observation on effect of laparoscopic cholecystectomy in the treatment of gallstones

作　　者：靖帅 JING Shuai(Anshan Hospital,First Affiliated Hospital of China Medical University,Anshan 114012,China)

机构地区：[1]中国医科大学附属第一医院鞍山医院,114012

出　　处：《中国实用医药》2022年第22期56-58,共3页China Practical Medicine

摘　　要：目的观察腹腔镜胆囊切除术治疗胆结石的临床疗效。方法120例胆结石患者,根据手术方式不同分成实验组和对照组,每组60例。对照组给予开腹胆囊切除术治疗,实验组给予腹腔镜胆囊切除术治疗。对比两组患者的临床疗效、手术相关指标、并发症发生情况与疼痛情况。结果实验组总有效率95.00%高于对照组的83.33%,差异具有统计学意义(P<0.05)。实验组手术时间(60.35±10.25)min、首次排气时间(14.21±5.31)h与住院时间(5.14±0.56)d短于对照组的(82.35±11.64)min、(25.16±6.31)h、(7.95±1.65)d,术中出血量(94.35±12.35)ml少于对照组的(138.54±14.25)ml,差异具有统计学意义(P<0.05)。实验组并发症发生率6.67%明显低于对照组的20.00%,差异具有统计学意义(P<0.05)。麻醉清醒后,实验组视觉模拟评分法(VAS)评分为(4.62±0.62)分,低于对照组的(5.35±0.51)分,差异具有统计学意义(P<0.05)。结论胆结石患者应用腹腔镜胆囊切除术治疗效果较显著,可有效提高临床治疗效果,缩短患者临床恢复时间,降低并发生症的发生几率,缓解术后疼痛程度,值得在临床上进行推广应用。Objective To observe the clinical efficacy of laparoscopic cholecystectomy in the treatment of gallstones.Methods A total of 120 patients with gallstones were divided into experimental group and control group according to different surgical methods,with 60 cases in each group.The control group was treated with open cholecystectomy,and the experimental group was treated with laparoscopic cholecystectomy.The clinical efficacy,surgery-related indicators,complications and pain were compared between the two groups.Results The total effective rate 95.00%of the experimental group was higher than 83.33%of the control group,and the difference was statistically significant(P<0.05).In the experimental group,the operation time(60.35±10.25)min,the first exhaust time(14.21±5.31)h and the hospitalization time(5.14±0.56)d were shorter than(82.35±11.64)min,(25.16±6.31)h and(7.95±1.65)d in the control group;the intraoperative blood loss(94.35±12.35)ml was less than(138.54±14.25)ml in the control group;the differences were all statistically significant(P<0.05).The incidence of complications in the experimental group was 6.67%,which was significantly lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).After awakening from anesthesia,the visual analogue scale(VAS)score of the experimental group was(4.62±0.62)points,which was lower than(5.35±0.51)points of the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of laparoscopic cholecystectomy in the treatment of patients with gallstones is significant,which can effectively improve the therapeutic effect,shorten the clinical recovery time,reduce the incidence of complications and relieve the degree of postoperative pain.It is worthy of clinical promotion and application.

关 键 词：腹腔镜 胆囊切除术 胆结石 并发症 临床疗效 

分 类 号：R657.42[医药卫生—外科学]