腹腔镜胆囊切除术与小切口胆囊切除术的临床对比

The peritoneoscope gallbladder excision method and the small margin gallbladder excision method clinical contrasts

目的：探讨腹腔镜胆囊切除术的疗效，并与小切口胆囊切除术的疗效作比较。方法：我院2008年1月-2009年12月分别对90例胆道疾病采用腹腔镜胆囊切除术与小切口胆囊切除术各45例，本研究旨在观察比较两种术式的手术效果及术后并发症发生率。结果：腹腔镜组的手术时间及术后住院时间均明显短于对照组所用时间，且腹腔镜组术中出血量明显少于对照组，术后腹腔镜组未发生切口感染等并发症，而对照组发生切口感染、出血、放射痛及术后胆漏等并发症，其发生率明显高于腹腔镜组（P〈0．01）。结论：腹腔镜胆囊切除术手术效果好，与小切口胆囊切除术比较，具有手术时间短、术中出血量少、并发生发生率低等优点，值得临床推广和应用。

Objective：The discussion peritoneoseope gallbladder excision method curative effect, and makes the comparison with the small margin gallbladder excision method curative effect. Methods：My courtyard in January, 2008 - December,2009 separately uses the peritoneoscope gallbladder excision method and small margin gallbladder excision method each 45 examples to 90 example biliary duct disease,after this research is for the purpose of observing compares two technique --like surgery effect and the technique the complication formation rate. Results： After the peritoneoscope group＇s surgery time and the technique in hospital time obvious short uses the time in the control group,also in the peritoneoscope group technique bleeds the quantity obviously to be short in the control group,after the technique the peritoneoscope group has not had complications and so on margin infection, after but the control group has the margin infection, the hemorrhage, the emission pain and the technique complications and so on cholerrhagia,its formation rate is higher than the peritoneoscope group obviously（P〈0.01）. Conclusion：The peritoneoscope gallbladder excision method surgery effect is good, compares with the small margin gallbladder excision method, has the surgery time short, in the technique bleeds the quantity few,and has the formation rate low status merit,is worth the clinical promotion and the application.