3种胆囊切除术的临床对比研究

Clinical comparisons of three kinds of gall bladder resections

目的比较3种胆囊切除术对组织的损伤程度。方法将180例胆囊结石、慢性胆囊炎、胆囊息肉患者随机分为腹腔镜胆囊切除术(LC)组和小切口胆囊切除术(MC)组、开腹胆囊切除(OC)组,各60例。对比其切口长度、术中出血量、手术时间。术后肛门排气时间、禁食时间、下床活动时间、止痛剂使用及住院时间。结果在切口长度、术中出血量、术后下地活动时间、进食、术后止痛剂使用及住院时间方面,LC、MC组明显优于OC组(P<0.01);而切口长度、术中出血量、住院时间、术后禁食时间及抗菌治疗使用时间,LC组明显优于MC组(P<0.01)。结论LC和MC组疗效明显优于OC组,LC优于MC组,临床应根据病情选择其中更合适患者的手术方法。

[Objective] Compared with three gallbladders excision methods to organization＇s extent of damage. [Method] 180 examples gall bladder calculus and chronic cholecystitus and the gallbladder polyp patients randomly were divided into the laparoscopic cholecystectomy （LC） group and the small margin gallbladder excision method （MC） group, opens the abdomen gallbladder excision （OC） group each 60 examples. Contrasts in its margin length, the bleeding amount in the operation, the surgery time. After the surgery the anus exhaust time, fasts the time, gets out of bed the active time, the mitigative use, be hospitalized fate. [Result] As to the margin length, the bleeding amount in the operation, the active time, eats food, the mitigative use afterwards the operation, be hospitalized fate, LC and the MC group obviously is superior to the OC group （P 〈0.01）; But in the abdomen margin length, the bleeding amount in the operation, be hospitalized fate, after the operation fasts the time and the antibacterial treatment period of revolution, the LC group obviously surpasses the MC group, （P 〈0.01）. [Conclusion] LC and the MC group curative effect obviously is superior to the OC group. LC is superior to MC group. Chooses more appropriate patient＇s surgerv method according to the condition.