腹腔镜胆囊切除术与开腹胆囊切除术的临床疗效及住院费用对比

The Comparison of Clinical Curative Effect and Hospital Expenses in Laparoscopic Procedure and Open Procedure for Cholecystolithiasis

目的比较2种胆囊切除术的手术方式在临床疗效及住院费用方面的差别,为胆囊手术方式开展寻求一个更适合患者的方法。方法 200例需要胆囊手术的患者,分成2个组,腹腔镜组112例,开腹组88例,分别进行2种不同的手术方式。结果观察组手术时间、术中出血量、术后肠道功能恢复时间、住院天数、镇痛泵使用率及术后并发症发生率较之对照组明显减少(P<0.05);而住院费用稍高于开腹手术。结论腹腔镜胆囊切除术创口小、愈合快、病人痛苦小、肠道功能恢复快、住院天数短、术后并发症少,而住院费用稍高于开腹手术,是值得推广的一种治疗胆囊结石的方法。

Objective To explore the clinical efficacy and hospital expenses of the two different methods for cholecystolithiasis.Methods 200 patients with cholecystolithiasis were divided randomly into the observation group（112 cases） and control group（88 cases）.The observation group was applied for the laparoscopic cholecystectomy,the control group took the open cholecystectomy.Results The operative time,blood loss,deaeration-time,hospitalization,analgesic usage rate,and the postoperative complications of the observation group were less than the control group（P0.05）,charge of be in hospital just above open surgery.Conclusion Laparoscopic cholecystectomy was better than open cholecystectomy.