腹腔镜下手术治疗胆囊管结石的疗效  

Efficacy of laparoscopic surgery for cystic duct stones

作　　者：王干一 WANG Gan-yi(General Surgery Division 1,Gaotang County People’s Hospital,Liaocheng Shandong Province 252800,China)

机构地区：[1]高唐县人民医院普外科一病区,山东聊城252800

出　　处：《中国城乡企业卫生》2023年第1期151-154,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的 探索腹腔镜下手术治疗胆囊管结石的疗效,促进患者更好地康复。方法 选取2021年2月—2022年2月山东省聊城市高唐县人民医院收治的100例胆囊管结石患者,随机分为对照组和观察组,各50例。对照组采取传统的手术,观察组患者则实施腹腔镜下手术。比较两组患者手术耗时、术中失血、镇痛药物使用量、引流量、下床活动时间、并发症发生率、手术前后患者简明健康量表当中的情感职能等项目评分。结果 观察组手术耗时、术中失血、镇痛药物使用量、引流量以及下床活动时间均优于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为2.00%,低于对照组的18.00%,差异有统计学意义(χ2=7.111,P<0.05)。手术前两组简明健康量表当中的情感职能等项目评分比较差异均无统计学意义(P>0.05);手术后,观察组简明健康量表当中的情感职能等项目评分优于对照组,差异均有统计学意义(P<0.05)。结论 胆囊管结石患者实施腹腔镜下手术效果确切,可减少失血创伤,缩短手术时间,减少并发症,加速术后康复以及促进患者生存质量的提高。Objective To explore the efficacy of laparoscopic surgery for cystic duct stones,to promote the better recovery of patients. Methods A total of 100 patients with cystic duct stones admitted to Gaotang County People’s Hospital from February 2021 to February 2022 were selected and randomly divided into the control group and observation group with 50 cases in each group. The patients in the control group were treated with traditional surgery,while those in the observation group were treated with laparoscopic surgery The operation time,intraoperative blood loss,amount of analgesics used,drainage volume,time to get out o bed,incidence of complications,and scores of emotional function in patients’ brief health scale before and after operation were compared between the two groups. Results The operation time,intraoperative blood loss,amount of analgesics used,drainage volume and time to get out of bed in the observation group were better than those in the control group,and differences were statistically significant (P<0.05). The incidence of complications in the observation group was 2.00%,which has lower than 18.00% in the brief group,and the d i fferen ce was stati sti cally si g n i fi can t (P<0.05). The scores of emoti on al fun cti on an d other i tems i n the bri ef health scale of the two g roups before surg ery had n o stati sti cally si g n i fi can t d i fferen ces(P>0.05);whi le after surg ery,the scores of emoti on al fun cti on an d other i tems i n the bri ef health scale of the observati on g roup were better than those i n the bri ef g roup,an d the d i fferen ces were stati sti cally si g n i fi can t (P<0.05).Conclusion L aparoscopi c surg ery was effecti ve for pati en ts wi th cysti c d uct ston es,whi ch could red uce bleed i n g trauma,shorten operati on ti me,red uce compli cati on s,accelerate postoperati ve rehabi li tati on an d i mprove the quali ty of li fe of pati en ts.

关 键 词：腹腔镜下手术 胆囊管结石 并发症 生存质量 

分 类 号：R615[医药卫生—外科学]