小切口输尿管镜微创保胆取石术治疗胆囊结石的临床效果分析

Analysis of the Clinical Effect of Small Incision Minimally Invasive Ureteroscopic Cholecystolithotomy in Treatment of Cholecystolithiasis

目的:探讨采用小切口输尿管镜微创保胆取石术治疗胆囊结石患者的临床效果。方法:回顾分析笔者所在医院72例胆囊结石患者临床治疗情况,采用小切口输尿管镜微创保胆取石术治疗者36例,为治疗组;另36例为对照组,采用腹腔镜胆囊切除术。针对两组的手术情况和术后恢复状况及术后的不良反应进行统计与分析。结果:两组患者的手术时间、术中出血量、术后肠道功能恢复时间、术后住院天数、平均住院费用等指标比较,差异无统计学意义(P>0.05)。治疗组术后不良反应为11.1%,明显低于对照组的33.3%,差异有统计学意义(P<0.05);治疗组术后疼痛评分为(2.19±0.71),对照组为(2.89±0.82)分,治疗组明显低于对照组,差异有统计学意义(P<0.01)。结论:小切口输尿管镜微创保胆取石术具有腹腔镜胆囊切除术的微创特点,且术后不良反应更少,并且保留了胆囊,更能满足患者生理与心理需求,且利于患者的快速康复,值得基层医院在临床上推广应用。

Objective： To investigate the clinical effect of small incision using ureteroscopic minimally invasive cholecystolithotomy in treatment of gallbladder calculi patients.Method： A retrospective analysis of the clinical treatment of patients with gallbladder stones in 72 cases, 36 cases with small incision ureteroscopic minimally invasive choleeystolithotomy treatment, as the treatment group; the other 36 cases as control group, treated with laparoseopic cholecystectomy.Statistical analysis was carried out about the situation of the operation, postoperative recovery and adverse reactions among.the two groups. Result： Compared with the operation time, intraoperative blood loss, postoperative intestinal function recovery time, postoperative hospitalization days, average hospitalization expenses between the two groups, the differences were statistically significant（P〉0.05）.The postoperative adverse reactions in the treatment group was 11.1%, significantly lower than the rate of 33.3% in the control group, the difference was statistically significant（P〈0.05）; postoperative pain score was （2.19 ± 0.71） in the treatment group, while it was （2.89 ± 0.82） in the control group, the difference was statistically significant（P〈0.01）.Conclusion： Ureteroscopic small incision minimally invasive cholecystolithotomy has the characteristics of minimally invasive of laparoscopic .eholecysteetomy, fewer adverse reactions of postoperation, and retain the gallbladder can satisfy the physiological and psychological needs of patients, it is more conducive to the rapid recovery of patients and worthy of clinical application in primary hospital.