腹腔镜与小切口胆囊切除手术治疗胆囊结石的临床疗效分析

Clinical analysis of laparoscopic cholecystectomy and minilaparotomy cholecystectomy

目的探讨腹腔镜胆囊切除术和小切口胆囊切除术治疗胆囊结石的临床疗效。方法选取2011年4月～2012年4月于本院外科行胆囊切除术的胆囊结石患者112例为研究对象，所有患者均按照随机数字表法分为腹腔镜手术组和小切口手术组，每组56例。观察两组患者的治疗效果，对其相关数据进行统计分析及比较。结果腹腔镜手术组的手术时间、术中出血量、肠胃功能恢复时间、术后下床时问、住院总天数和镇痛泵使用率均明显低于小切口手术组，与小切口手术组比较均有显著性差异（P〈0．05）。两组患者并发症发生率比较无显著性差异（P〉0．05）。结论腹腔镜胆囊切除术和小切口胆囊切除术各有优缺点，应根据患者和医生的实际情况选择合适的手术方法，方能达到理想的临床效果。

Objective To explore the clinical efficacy of laparoscopic cholecystectomy and minilaparotomy cholecys- tectomy for cholecystolithiasis. Methods One hundred and twelve cases with choleeystolithiasis treated in my hospital from Apr. 2011 to Apr. 2012 were selected as research object. They were randomly divided into 2 groups： LC group and MC group. Each group had 56 cases. After observing the therapeutic effect of the patients in the two groups, the related data was statistically analyzed and compared. Results The time of the operation, the amount of bleeding during operation, recovery time of postoperative intestinal function, ambulation time, hospital stay and the using rate of PCEA of LC group were better than MC group. There had significant difference between two groups （P 〈 0.05）. There was not significant difference of the complication rate between two groups （P 〉 0.05）. Conclusion LC and MC have their own advantages and disadvatages. An appropriate choice for the method of eholeeystectomy should be made based on the actual situation of the patients and doctors.