腹腔镜微创保胆术治疗胆囊结石临床分析

Clinical analysis of minimally invasive laparoscopic treatment on gallstone gallbladder preserving operation

目的：针对患有胆囊结石患者采取腹腔镜微创保胆术治疗的临床效果进行研究和探讨。方法：在2010年3月1日～2011年2月29日期间选择入住我院并接受治疗的83例患有胆囊结石患者作为研讨对象，以数字表机选法将其分为观察组和对照组，对照组采取腹腔镜胆囊切除术治疗，观察组则是采取腹腔镜微创保胆术治疗。结果：观察组患者的手术时间、术中出血量、术后住院时间与对照组患者相比，差异性显著；2组患者经随访后，对照组患者的腹胀、腹泻和消化不良的发生率明显高于观察组患者的，统计学上均有意义（P〈0．05）。观察组患者的总胆管结石发生率、胆囊结石复发率与对照组患者的比，无显著性差异，无统计学意义（P〉0．05）。结论：针对患有胆囊结石患者腹腔镜微创保胆术治疗效果确切，安全有效，可在医学界推广应用。

Objective： To discuss the clinical curative effect of Minimally invasive laparoscopic treatment on gallstone gallbladder preserving operation. Methods： 83 cases with Gallbladder stone in our hospital from 2010 March to 2011 February, who were randomly divided into observation group undergone laparoscopic cholecystectomy treatment, and control group undergone Minimally invasive laparoscopic treatment. Results： Compared with control group on operation time, intraoperative bleeding volume and postoperative hospitalization time, there were significant differences between observation group and control group. After random interview, compared with observation group, the incidence rate of bloating, diarrhea and indigestion of patients in control group was higher（p 〈0.05）. Compared with control group on total incidence of bile duct stones, gallbladder stones recurrence rate, observation had no statistically significant （ p 〉 0.05 ）. Conclusion： For gallbladder stone patients, Minimally invasive laparoscopic treatment should be effective and safe and can be widely used in the medical profession. WTHZI