腹腔镜胆囊切除术与开腹手术治疗胆囊结石对比观察

Comparison Observation Between Laparoscopic Cholecystectomy and Open Surgery in Treatment of Gallbladder Stones

目的探讨腹腔镜胆囊切除术和开腹手术治疗胆囊结石的效果。方法选取2013年9月~2015年9月我院收治的胆结石患者92例,随机分为两组。对照组48例给予开腹手术治疗,观察组44例给予腹腔镜手术,对比两组手术时间、术中出血量、住院时间、排气时间和并发症发生率。结果观察组手术时间、术中出血量、住院时间、排气时间少于对照组,差异有统计学意义（P〈0.05）;观察组并发症发生率低于对照组,差异有统计学意义（P〈0.05）。结论相比于开腹手术,腹腔镜胆囊切除术治疗胆囊结石可提高疗效,减少术中出血量,缩短住院时间,且并发症少。

Objective To investigate the effect of laparoscopic cholecystectomy and open surgery for the treatment of gallbladder stones..Methods Selected from 92 cases with gallstone from September 2013 to September 2015 in our hospital, which were randomly divided into two groups. The control group was 48 cases given open surgery, the observation group was 44 cases given laparoscopic surgery, compared the two groups of operation time, the amount of bleeding, hospitalization time, exhaust time and the incidence of complications. Results The observation group, the operation time, intraoperative blood loss, hospitalization time, discharge time was less than the control group, the difference was statistically significant（P0.05）, the observation group complication rate was lower than the control group, the difference was statistically significant（P0.05）. Conclusion Compared with open surgery, laparoscopic cholecystectomy in the treatment of gallstones can significantly improve the curative effect, reduce the amount of bleeding during surgery, shorten the hospital stay, and less complications.