腹腔镜胆囊切除术与传统开腹胆囊切除术治疗胆结石临床效果的对比分析  

Comparative analysis of clinical effects of laparoscopic cholecystectomy and traditional open cholecystectomy in the treatment of gallstones

作　　者：侯玉春 Hou Yuchun(Department of Surgery,Funing County Traditional Chinese Medicine Hospital,Yancheng 224400,China)

机构地区：[1]江苏省盐城市阜宁县中医院外科,224400

出　　处：《现代养生》2023年第14期1061-1064,共4页Health Protection and Promotion

摘　　要：目的通过临床对比分析,探讨腹腔镜胆囊切除术对胆结石患者围手术期指标、胃肠功能和并发症的影响。方法选取2020年1月-2022年12月医院收治的60例胆结石患者作为研究对象,根据组间性别、年龄、结石直径、结石数等基本资料均衡可比的原则进行分组,每组30例。观察组采用腹腔镜胆囊切除术治疗,对照组采用传统开腹胆囊切除术治疗。对比两组患者围手术期指标手术时间、术中出血量、视觉模拟评分(VAS)及胃肠功能恢复情况、住院期间并发症情况。结果手术过程中,观察组患者手术时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。双因素方差分析结果显示,手术前、手术后6h、手术后12h,两组患者VAS评分均逐渐降低,各观察时点间差异有统计学意义(P_(时间)<0.05);术后6h、12h,观察组VAS评分均低于对照组,组间差异有统计学意义(P_(组间)<0.05)。手术后,观察组首次排便时间、肛门首次排气时间、首次进食时间均短于对照组,差异有统计学意义(P<0.05);住院期间观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论胆结石患者通过腹腔镜胆囊切除术治疗有利于改善手术指标,降低疼痛感,改善胃肠功能,降低并发症。Objective To explore the effect of laparoscopic cholecystectomy on perioperative parameters,gastrointestinal function and complications in patients with gallstones through clinical comparative analysis.Methods Sixty patients with gallstones admitted to the hospital from January 2020 to December 2022 were selected as the research subjects.They were divided into groups based on the principle of balanced and comparable basic data such as gender,age,stone diameter,and number of stones between groups,with 30 patients in each group.The observation group was treated with laparoscopic cholecystectomy,and the control group was treated with traditional open cholecystectomy.Compare the perioperative indicators of surgery time,intraoperative bleeding volume,visual analogue pain score(VAS),gastrointestinal function recovery,and complications during hospitalization between two groups of patients.Results During the surgery,the observation group had shorter surgery time and less intraoperative bleeding compared to the control group,with a statistically significant difference(P<0.05).The results of bivariate analysis of variance showed that the VAS scores of the two groups of patients gradually decreased before surgery,6 hours after surgery,and 12hours after surgery,and there was a statistically significant difference between the observation points(P_(time)<0.05).At 6 and 12 hours after surgery,the VAS score of the observation group was lower than that of the control group,and the difference between the groups was statistically significant(P_(group)<0.05).After surgery,the observation group had shorter first bowel movement time,first anal exhaust time,and first meal time compared to the control group,with statistically significant differences(P<0.05).The total incidence of complications in the observation group during hospitalization was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic cholecystectomy for gallstone patients can improve the surgical indicators,re

关 键 词：胆结石 腹腔镜胆囊切除术 出血量 胃肠功能 并发症 

分 类 号：R657.41[医药卫生—外科学]