腹腔镜胆囊切除术与小切口胆囊切除术的疗效对比及临床分析

The efficacy comparison and clinical analysis of the laparoscopic cholecystectomy and small-incision cholecystectomy

目的探讨腹腔镜胆囊切除术与小切口胆囊切除术的疗效对比及临床分析。方法 80例因胆囊疾病需行手术切除的患者,随机将其分为对照组(小切口胆囊切除术)和观察组(腹腔镜胆囊切除术),比较两组切口长度、手术时间、出血量以及胃肠功能恢复时间及并发症发生率,术后血清炎性因子(CRP、IL-1β、sIL-2R)水平。结果与对照组相比,观察组切口长度、手术时间、出血量以及胃肠功能恢复时间均明显减少,并发症的发生率显著降低,血清CRP、IL-1β及sIL-2R水平均明显降低(均P<0.05)。结论腹腔镜胆囊切除术的手术不良应激反应小,疗效显著,并发症少,值得临床推广。

【Objective】To study the efficacy of the laparoscopic cholecystectomy and small-incision cholecystectomy and conduct clinical outcome analysis.【Methods】80 patients with cholecystectomy were randomized into the control group （small-incision cholecystectomy） and the observation group （laparoscopic cholecystectomy）. The incision length, operative time, blood loss, recovery time of postoperative intestinal function, complications and serum inflammatory factors such as CRP, IL-1β and sIL-2R were observed and compared. 【Result】Compared with the control group, the incision length, operative time, blood loss and recovery time of postoperative intestinal function were all obviously decreased, the incidence of complications was significantly reduced and the serum concentration of CRP, IL -1β and sIL-2R were obviously decreased （both P 0.05）. 【Conclusion】The laparoscopic cholecystectomy had less surgical stress, significant efficacy, fewer complications and worthy of clinical promotion.