不同胆囊切除术治疗胆囊结石临床疗效观察

Efficacy of Different Types of Cholecystectomy for Gallstone Stones

目的探讨和分析腹腔镜胆囊切除术和传统开腹胆囊切除术在治疗胆囊结石的临床治疗效果。方法整群选择该院自2013年11月—2014年10月收治的胆囊结石患者共158例,根据患者知情同意,将其分成观察组和对照组各79例,观察组行腹腔镜胆囊切除术,对照组行开腹胆囊切除术,然后将两组患者的临床治疗效果进行对比。结果观察组患者的手术时间、术中的出血量和胃肠道功能恢复时间以及术后的住院时间分别为(65.3±17.9)min、(39.4±17.5)h、(23.0±6.7)d和(4.5±1.5)m L,均明显短于(少于)对照组患者,在并发症方面,对照组患者术后的并发症发生率为21.52%,明显地高于观察组患者(2.53%),两组上述指标对比,差异有统计学意义(P<0.05)。结论对于胆囊结石患者,采用腹腔镜胆囊切除术方法 ,具有着创伤小、恢复快和住院时间短以及并发症少等诸多优点,非常值得在临床推广应用。

Objective To investigate and analyze the clinical effect of laparoscopic cholecystectomy and traditional open cholecystectomy in the treatment of gallstone. Methods 158 patients with gallstone admitted in our hospital during November 2013 and October 2014 were divided into observation group and control group with their informed consent. The 79 patients in the observation group were treated with laparoscopic cholecystectomy, while those in the control groups underwent open cholecystectomy. The clinical efficacies of the two groups were compared. Results The operation time, intraoperative blood loss,recovery time of gastrointestinal function and hospitalization time were（65.3±17.9）min,（39.4±17.5）h,（23.0±6.7）d,（4.5±1.5）ml,respectively, less than those of the control group; in terms of postoperative complication, the occurring rate, 21.52%, of the patients in the control groups was higher than that in the observation group, 2.53 %, and there were statistically significant differences between the indicators above of the two groups（P〈0.05）. Conclusion For patients with gallstone, laparoscopic cholecystectomy,with small trauma, rapid recovery and shorter hospitalization time, less complications and many other advantages, is worthy of the clinical application.