腹腔镜下胆囊切除术与常规开腹胆囊切除术治疗胆结石的临床效果研究

Research of clinical effects of laparoscopic cholecystectomy and conventional open cholecystectomy in the treatment of cholelithiasis

目的比较腹腔镜下胆囊切除术与常规开腹胆囊切除术治疗胆结石的临床效果。方法 90例胆结石患者,随机分为观察组(45例)与对照组(45例),观察组行腹腔镜下胆囊切除术治疗,对照组行常规开腹胆囊切除术治疗,比较两种术式手术时间、术中出血量、排气时间、下床时间、住院时间及并发症发生情况。结果观察组手术时间(53.35±5.11)min、术中出血量(43.85±12.64)ml、排气时间(11.34±5.30)h、下床时间(11.62±3.67)h、住院时间(6.28±2.67)d低于对照组(77.68±11.54)min、(75.20±18.32)ml、(19.65±7.43)h、(25.60±4.35)h、(8.85±1.30)d,差异均具有统计学意义(P<0.05);观察组并发症总发生率4.44%(2/45)低于对照组17.78%(8/45),差异具有统计学意义(P<0.05)。结论腹腔镜下胆囊切除术具有微创性,各手术指标均优于传统开腹手术,具有较高的临床应用价值。

Objective To compare the clinical effects between laparoscopic cholecystectomy and conventional open cholecystectomy in the treatment of cholelithiasis.Methods A total of 90 cholelithiasis patients were randomly divided into observation group （45 cases） and control group （45 cases）. The observation group received laparoscopic cholecystectomy for treatment, and the control group was given conventional open cholecystectomy. Comparisons were made on operation time, intraoperative bleeding volume, evacuation time, off-bed time, hospital stay, and complications between the two groups.Results The observation group had much 〈br〉 lower operation time （53.35±5.11） min, intraoperative bleeding volume （43.85±12.64） ml, evacuation time （11.34±5.30） h, off-bed time （11.62±3.67） h, and hospital stay （6.28±2.67） d than those of the control group as （77.68±11.54） min, （75.20±18.32） ml, （19.65±7.43） h, （25.60±4.35） h, and （8.85±1.30） d, and their differences all had statistical significance （P〈0.05）. The total incidence of complications of the observation group as 4.44% （2/45） was lower than 17.78% （8/45） of the control group, and the difference had statistical significance （P〈0.05）.Conclusion Laparoscopic cholecystectomy has minimally invasive features, and it provides better indexes than conventional open cholecystectomy. This method contains high value in clinical application.