腹腔镜与开腹保胆取石术治疗胆囊结石的对比研究

Comparative Study of Cholelithotomy by Laparoscopy and Laparotomy in the Treatment of Gallbladder Stone

目的:对比研究腹腔镜下行保胆取石术与开腹手术在胆囊结石治疗中的效果。方法:选取2007年6月-2012年6月收治的胆囊结石患者100例,按照手术方式的不同分为两组。研究组(n=60)采用腹腔镜手术治疗,对照组(n=40)采用开腹手术治疗,对比两组临床手术效果。结果:研究组手术时间、术后排气时间、术后下床时间及住院时间均短于对照组(P<0.05),且术中出血量少于对照组(P<0.05);研究组并发症发生率、复发率、止痛药使用率均低于对照组(P<0.05)。结论:腹腔镜下行保胆取石术与开腹手术相比,在治疗胆囊结石中临床综合效果更理想,更值得推广应用。

Objective：To compare and study the effect of laparoscopic cholelithotomy and open operation in the treatment of gallbladder stone.Method：A total of 100 patients with gallbladder stone were selected from June 2007 to June 2012,and all patients were divided into two groups by different surgical types.Patients in the research group（n=60） were treated by laparoscopic cholelithotomy,and patients in the control group（n=40） were treated by open operation,then the effects of surgery of the two groups were compared.Result：The operation time,postoperative exhaust time,postoperative bed time and hospital stay of the research group were all shorter than that of the control group（P〈0.05）,and the amount of bleeding of the research group was less than that of the the control group（P〈0.05）.The incidence of complications,the rates of recurrence and using painkillers in the research group were lower than that in the control group（P〈0.05）.Conclusion：The comprehensive effect of laparoscopic cholelithotomy in the treatment of gallbladder stone is more ideal compared with open operation,and it is worthy of promoting and applying preferentially.