胆结石合并糖尿病50例治疗及效果评析

Evaluation of effect and treatment for 50 gallstone complicated with diabetes cases

目的研究胆结石合并糖尿病的治疗及效果。方法 50例胆结石合并糖尿病患者,根据密封信封不透光法分为腹腔镜组和开腹组,各25例。开腹组给予开腹手术治疗,腹腔镜组给予腹腔镜手术治疗。比较两组患者术中出血量、切口愈合时间、住院时间和治疗总效率、转开腹率、死亡率。结果腹腔镜组患者术中出血量、切口愈合时间、住院时间均少于开腹组(P<0.05)。腹腔镜组治疗总效率(88.00%)高于开腹组(64.00%),转开腹率(4.00%)、死亡率(0)低于开腹组(24.00%、16.00%)(P<0.05)。结论胆结石合并糖尿病行腹腔镜手术治疗效果确切,可有效改善患者预后,降低死亡率,可减少术中出血,加速切口愈合,值得推广。

Objective To research treatment and effect for gallstone complicated with diabetes. Methods A total of 50 gallstone complicated with diabetes patients were divided by sealing envelope method into laparoscope group and laparotomy group, with 25 cases in each group. The laparotomy group received laparotomy for treatment, and the laparoscope group received laparoscopic surgery for treatment. Comparison was made on intraoperative bleeding volume, incision healing time, hospital stay time, total effective rate, laparotomy transfer rate, and mortality rate between the two groups. Results The laparoscope group had all less intraoperative bleeding volume, incision healing time, and hospital stay time than the laparotomy group（P〈0.05）. The laparoscope group had higher total effective rate（88.00%） than the laparotomy group（64.00%）, while its laparotomy transfer rate（4.00%） and mortality rate（0） were lower than the laparotomy group（24.00%, 16.00%）（P〈0.05）. Conclusion Implement of laparoscopic surgery in treating gallstone complicated with diabetes provides precisely curative effect. This method can effectively improve prognosis in patients, reduce mortality rate and intraoperative bleeding volume, and accelerate incision healing. It is worth promoting.