腹腔镜与小切口胆囊切除治疗的临床对比分析

The Clinical Comparison Analysis on Laparoscopic Cholecystectomy and Small Incision Cholecystectomy

目的:对腹腔镜与小切口胆囊切除治疗的临床疗效进行对比分析。方法:选择2010年至2011年治疗于我院的125例胆囊疾病患者为研究对象,随机分为LC组(腹腔镜组)63例,MC组(对照组)62例,对比两种术式切除胆囊的效果。结果:LC组平均出血量为(11.3±2.4)mL、平均住院天数为(4.6±2.2)d、平均住院费用为(6089.4±1093.2)元、并发症发生率为0.0%,与MC组比较,差异明显,P<0.05。结论:腹腔镜下胆囊切除术及小切口胆囊切除术均具有微创的特点,腹腔镜手术创伤更小、住院天数更短、并发症发生率更低,更符合微创理念,但是住院费用相对较高,临床上可根据患者具体情况选择手术方式。

Objective： To compare and analyze the clinical effect of laparoscopic cholecystectomy and small incision cholecystectomy. Method： From 2010 to 20ll, 125 patients with cholecyst disease were se- lected as objects in our hospital. They were randomly divided into LC groups （63 cases） and MC group （62 cases）. Then compared the treatment effect of two groups. Result： In LC group, the average blood loss was （ 11.3 ±2.4 ） mL, the average time of hospitalization was （ 4.6 ±2.2 ） days, the average cost of hospitalization was （6089.4±1093.2） yuan, the incidence of complications was 0.0%, when compared with the MC group ~ the differences were significant, P〈0.05. Conclusion： Laparoscopic eholecystectomy and small inci- sion cholecystectomy were both minimally invasive. Laparoscopic cholecystectomy can make traumatic less, hospitalization days shorter and complication rates lower. It was more in line with the concept of minimally invasive, but the hospitalization cost was higher, we can select the surgery according to specific clinical situ- ations of the patients.