腹腔镜胆囊切除术治疗胆囊结石的临床效果分析  

Clinical effect analysis of laparoscopic cholecystectomy for gallbladder stones

作　　者：谭万国 TAN Wan-guo(First Department of General Surgery,Linghai Dalinghe Hospital,Jinzhou 121200,China)

机构地区：[1]辽宁省锦州市凌海大凌河医院综合外一科,121200

出　　处：《中国实用医药》2023年第4期44-46,共3页China Practical Medicine

摘　　要：目的研究腹腔镜胆囊切除术治疗胆囊结石的临床疗效。方法48例胆囊结石患者,征求患者及其家属的意见后分为观察组和对照组,每组24例。对照组患者采用传统开腹手术进行治疗,观察组患者采用腹腔镜胆囊切除术进行治疗。比较两组患者手术及恢复指标,术后并发症发生情况。结果观察组患者的手术时间(129.46±13.33)min、术后肛门排气时间(2.41±0.46)d、术后住院时间(8.53±1.23)d均明显短于对照组的(140.36±10.35)min、(4.49±1.02)d、(13.52±2.84)d,术中出血量(50.46±8.27)ml少于对照组的(131.43±20.38)ml,疼痛数字评分法(NRS)评分(3.02±0.18)分低于对照组的(5.51±1.24)分,差异有统计学意义(P<0.05)。观察组患者的术后并发症发生率8.33%明显低于对照组的37.50%,差异有统计学意义(P<0.05)。结论相对于传统开腹手术而言,腹腔镜胆囊切除术治疗胆囊结石可以更好的提升手术质量,促进术后恢复,降低并发症发生率,值得推荐。Objective To study the clinical efficacy of laparoscopic cholecystectomy for gallbladder stones.Methods A total of 48 patients with gallbladder stones were divided into an observation group and a control group after consulting the patients and their families,with 24 cases in each group.Patients in the control group were treated with conventional open surgery,while patients in the observation group were treated with laparoscopic cholecystectomy.The surgery and recovery indexes and the occurrence of postoperative complications were compared between the two groups.Results The operative time(129.46±13.33)min,postoperative anal exhaust time(2.41±0.46)d,and postoperative hospital stay(8.53±1.23)d in the observation group were significantly shorter than(140.36±10.35)min,(4.49±1.02)d,and(13.52±2.84)d in the control group;the intraoperative blood loss(50.46±8.27)ml in the observation group was less than(131.43±20.38)ml in the control group;the numerical rating scale(NRS)score(3.02±0.18)points in the observation group was lower than(5.51±1.24)points in the control group;the differences were statistically significant(P<0.05).The postoperative complication rate 8.33%in the observation group was significantly lower than 37.50%in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with conventional open surgery,laparoscopic cholecystectomy for gallbladder stones can better improve the quality of surgery,promote postoperative recovery and lower the incidence of complications,and is recommended.

关 键 词：腹腔镜胆囊切除术 胆囊结石 开腹手术 并发症 疼痛 

分 类 号：R657.42[医药卫生—外科学]