两种手术方法治疗胆结石的疗效比较

The Efficacy of Two Surgical Treatments for Gallstones Compared

目的对比腹腔镜胆囊切除术、开腹胆囊切除术治疗胆结石的安全性和可行性。方法分别采用腹腔镜胆囊切除术、开腹胆囊切除术治疗符合病例入选标准的胆结石患者各55例,比较2组手要成功率,并对比术中出血量、手术时间、术后镇痛、肛门排气时间、住院时间、并发症和医疗费用情况。结果 2组各55例患者均顺利完成手术,完整的取出结石,手术成功率均高达100.00%,2组相比无统计学意义(P>0.05)。2组手术时间、医药费用相比差异无统计学意义(P>0.05);2组术中出血量、肛门排气时间、住院时间及止痛药物应用率、术后并发症发生率相比差异有统计学意义(P<0.05)。结论采用腹腔镜胆囊切除术治疗胆结石比开腹胆囊切除术治疗更安全、方便,且具有切口小、创伤少、术中出血少、伤口疼痛轻、住院时间短、并发症少、对机体影响小、术后康复快便等优点。

Objective To compare laparoscopic cholecystectomy,open cholecystectomy treatment of the safety and feasibility of gallstones.MethodThe laparoscopic cholecystectomy,open cholecystectomy patients selected for treatment meet the standard of the 55 cases of gallstone patients compared to Group 2 success rate of hand,and compared blood loss,operative time,postoperative pain,anal exhaust time,hospital stay,complications and medical costs of the situation.Results Group 2 of the 55 patients were successfully operated,complete remove the stones,surgical success rates as high as 100.00%,compared with 2 groups was not significant（P0.05）.2 group operative time,the medical department was no significant difference compared to the cost（P0.05）;2 group blood loss,anal exhaust time,hospital stay and pain medication application rates,compared the incidence of postoperative complications between statistically significant（P0.05）.Conclusion The treatment of gallstones during laparoscopic cholecystectomy than open cholecystectomy treatment is more safe,convenient,and has a small incision,less trauma,less bleeding,wound pain,shorter hospital stay,fewer complications,the body little impact on rehabilitation soon after and so on.