微孔腹腔镜无异物胆囊切除术治疗胆囊结石的疗效及对生活质量的影响研究  

Efficacy of microporous laparoscopic cholecystectomy without corpus alienum on cholecystolithiasis and its influence on quality of life

作　　者：蒋林哲[1] 王月华 吕鹏[2] 孟宪颖[1] JIANG Lin-zhe;WANG Yue-hua;LYU Peng(Department of Hepatobiliary and Pancreatic Surgery,Jilin People's Hospital,Jilin 132001,China)

机构地区：[1]吉林市人民医院肝胆胰外科,132001 [2]吉林市人民医院麻醉科,132001 [3]吉林医药学院检验学院,132021

出　　处：《中国实用医药》2024年第5期50-53,共4页China Practical Medicine

基　　金：吉林市医疗卫生指导性计划项目(项目编号:20210409019)。

摘　　要：目的探讨微孔腹腔镜无异物胆囊切除术治疗胆囊结石的疗效及对生活质量的影响。方法40例胆囊结石患者,随机分为观察组和对照组,各20例。观察组采取微孔腹腔镜无异物胆囊切除术治疗,对照组采取常规腹腔镜胆囊切除术治疗。比较两组手术时间、术中出血量、术后下床活动时间、术后排气时间、住院时间、住院费用、术后并发症发生情况、疼痛评分、切口美观满意度评分、生活质量评分。结果两组手术时间、术中出血量、住院时间比较,差异无统计学意义(P>0.05);观察组术后下床活动时间(7.95±1.54)h、术后排气时间(12.75±2.10)h短于对照组的(11.20±4.36)、(16.80±4.75)h,住院费用(1.42±0.13)万元少于对照组的(1.80±0.80)万元,差异具有统计学意义(P<0.05)。观察组视觉模拟评分法(VAS)评分(2.45±0.51)分、切口美观满意度评分(1.00±0.00)分低于对照组的(4.75±0.97)、(1.60±0.50)分,差异具有统计学意义(P<0.05)。观察组治疗后躯体、心理、角色以及社会评分分别为(94.60±1.82)、(94.80±1.91)、(93.10±2.40)、(93.30±3.34)分,高于对照组的(87.60±3.14)、(86.45±3.74)、(86.05±3.00)、(84.70±4.08)分,差异具有统计学意义(P<0.05)。两组术后均无胆漏、出血、切口感染等并发症发生。结论微孔腹腔镜无异物胆囊切除术治疗胆囊结石的美容效果良好,体内不残留异物,术后康复时间短,费用低廉,对患者生活质量的改善有积极作用,适合临床推广应用。Objective To discuss the efficacy of microporous laparoscopic cholecystectomy without corpus alienum on cholecystolithiasis and its influence on quality of life.Methods A total of 40 patients with cholecystolithiasis were randomly divided into an observation group and a control group,with 20 cases in each group.The observation group was treated with microporous laparoscopic cholecystectomy without foreign body,and the control group was treated with conventional laparoscopic cholecystectomy.Both groups were compared in terms of operative time,intraoperative blood loss,postoperative ambulation time,postoperative exhaust time,hospital stay,hospitalization cost,postoperative complications,pain score,incision aesthetic satisfaction score and quality of life score.Results There was no statistically significant difference in operative time,intraoperative blood loss and hospital stay between the two groups(P>0.05).The postoperative ambulation time of(7.95±1.54)h and the postoperative exhaust time of(12.75±2.10)h in the observation group were shorter than those of(11.20±4.36)and(16.80±4.75)h in the control group;the hospitalization cost of(1.42±0.13)ten thousand yuan in the observation group was less than that of(1.80±0.80)ten thousand yuan in the control group;the differences were statistically significant(P<0.05).The visual analogue scale(VAS)score of(2.45±0.51)points and incision aesthetic satisfaction score of(1.00±0.00)points in the observation group were lower than those of(4.75±0.97)and(1.60±0.50)points in the control group,and the differences were statistically significant(P<0.05).After treatment,the physical,psychological,role,and social scores in the observation group were(94.60±1.82),(94.80±1.91),(93.10±2.40)and(93.30±3.34)points,which were higher than those of(87.60±3.14),(86.45±3.74),(86.05±3.00)and(84.70±4.08)points in the control group,and the differences were statistically significant(P<0.05).No complications such as bile leakage,bleeding and incision infection occurred in both groups.Con

关 键 词：微孔腹腔镜 无异物胆囊切除术 胆囊结石 生活质量 

分 类 号：R657.42[医药卫生—外科学]