腹腔镜与传统开腹胆囊切除术治疗胆结石的效果比较  

Comparison of the Efficacy of Laparoscopic and Traditional Open Cholecystectomy in the Treatment of Gallstones

作　　者：江友明 JIANG Youming(Department of General Surgery,Tianjin Huaxing Hospital,Tianjin 300270,China)

机构地区：[1]天津华兴医院普外科,天津300270

出　　处：《中国实用乡村医生杂志》2025年第1期32-35,共4页Chinese Practical Journal of Rural Doctor

摘　　要：目的比较分析腹腔镜胆囊切除术与传统开腹胆囊切除术治疗胆结石的效果。方法选取天津华兴医院2021年6月—2023年6月收治的60例胆结石患者为研究对象,按照手术方式的不同分为实施腹腔镜胆囊切除术治疗的腹腔镜组39例,以及采取传统开腹胆囊切除术治疗的开腹组21例。比较两组手术指标、术后并发症发生情况,以及术前与术后24 h疼痛情况和应激反应。结果腹腔镜组手术时间短于开腹组,术中出血量少于开腹组,首次下地活动时间早于开腹组,住院时间短于开腹组,差异有统计学意义(P<0.05)。术后24 h,两组疼痛视觉模拟评分法评分及内皮素、血清超氧化物歧化酶、皮质醇水平均较术前得到改善,且术后24 h腹腔镜组上述各项指标均优于开腹组,差异有统计学意义(P<0.05)。腹腔镜组术后并发症总发生率低于开腹组,差异有统计学意义(P<0.05)。结论腹腔镜胆囊切除术治疗胆结石,较传统开腹手术具有更多优势,能够减轻机体应激反应和疼痛,减少术后并发症的发生,值得推广使用。Objective Compare and analyze the efficacy of laparoscopic cholecystectomy and traditional open cholecystectomy in the treatment of gallstones.Methods Sixty patients with gallstones admitted to Tianjin Huaxing Hospital from June 2021 to June 2023 were selected as the research subjects.According to different surgical methods,they were divided into a laparoscopic group of 39 cases treated with laparoscopic cholecystectomy and an open group of 21 cases treated with traditional open cholecystectomy.Compare surgical indicators,incidence of postoperative complications,as well as preoperative and postoperative 24 hours pain and stress response between two groups.Results The laparoscopic group had a significantly shorter surgical time,less intraoperative bleeding,earlier ambulation time,and shorter hospital stay than the open group(P<0.05).At 24 hours after surgery,both groups showed improvement in pain visual analogue scoring,as well as in levels of endothelin,serum superoxide dismutase,and cortisol compared to preoperative levels.Moreover,all of these indicators in the laparoscopic group were significantly superior to those in the open group at 24 hours after surgery(P<0.05).The total incidence of postoperative complications in the laparoscopic group was significantly lower than that in the open group(P<0.05).Conclusion Laparoscopic cholecystectomy has many advantages over traditional open surgery in the treatment of gallstones,as it can reduce the body’s stress response,pain,and the occurrence of postoperative complications.It is worth promoting.

关 键 词：胆结石 胆囊切除术 开腹手术 腹腔镜手术 效果 

分 类 号：R65[医药卫生—外科学]