腹腔镜与传统手术治疗胆管结石的效果对比分析

Contrastive analysis on the effect of laparoscopy and conventional surgery in the treatment of biliary calculi

目的：探讨腹腔镜手术和传统手术治疗胆管结石的临床效果。方法选取2010年1月-2014年1月本院收治的86例胆管结石患者，随机分为开放手术组和腹腔镜组，每组43例，开放手术组采用传统开腹手术方式进行治疗，腹腔镜组采用腹腔镜微创手术进行治疗。比较两者的治疗效果。结果腹腔镜组治疗总有效率为94.3%，高于开放手术组的81.4%，差异有统计学意义（P〈0.05）。腹腔镜组手术操作时间、术后住院时间短于开放手术组，出血量少于开放手术组，差异有统计学意义（P〈0.05）。结论腹腔镜手术方式在胆管结石中的效果非常明显。

Objective To explore the effect of laparoscopy and conventional surgery in the treatment of biliary calculi. Methods 86 patients with biliary calculi treated in our hospital from January 2010 to January 2014 were selected,and were randomly divided into open surgery group and laparoscopy group,with 43 patients in each group.The open surgery group was given with conventional laparoscopic surgery for treatment,and the laparoscopy group was given with mini-mally invasive surgery by laparoscopy for treatment.Curative effect was compared between the two groups. Results The total effective rate of laparoscopy group was 94.3%,higher than 81.4% of open surgery group,the difference was signifi-cant （P〈0.05）.The operation time,hospitalization time of laparoscopy group was shorter than that of open surgery group, bleeding was less than that of open surgery group,the difference was significant （P〈0.05）. Conclusion Laparoscopic surgery has a significant effect on biliary calculi.