腹腔镜胆囊切除术与传统开腹胆囊切除术治疗胆囊结石临床疗效对比

Curative effects comparison of laparoscopic cholecystectomy and traditional open cholecystectomy in the treatment of gallstones

目的探讨腹腔镜胆囊切除术与传统开腹胆囊切除术治疗胆囊结石的临床效果。方法将我院2012年1月至2016年1月收治的胆囊结石患者206例作为研究对象,按照随机数字表法分为研究组和对照组,各103例。研究组患者行腹腔镜胆囊切除术,对照组患者选择传统开腹胆囊切除术,观察两组患者的临床疗效以及并发症的发生情况。结果研究组患者的术中出血量明显少于对照组(P<0.05),手术时间、通气时间和住院时间短于对照组(P<0.05);研究组患者术后并发症总发生率为3.88%,显著低于对照组的15.53%,差异具有统计学意义(P<0.05)。结论腹腔镜胆囊切除术相对于传统开腹胆囊切除术,具有创伤小、手术时间短、恢复快、并发症发生率低等优点,临床效果显著,在条件允许的情况下可进行临床推广使用。

Objective To explore the curative effects of laparoscopic cholecystectomy and traditional open cholecystectomy in the treatment of gallstones. Methods A total of 206 cases of gallstones patients who admitted in our hospital from January 2012 to January 2016 were selected and randomly divided into observation group and control group. The 103 cases in the observation group received laparoscopic cholecystectomy, while 103 cases in the control group received traditional open cholecystectomy. The curative effects and incidence rate of complications were observed and compared between the two groups. Results The operation time, intraoperative blood loss, ventilation time and hospital stay in the observation group were less than those in the control group（P〈0.05）; the total incidence rate of postoperative complications was 3.88% in the observation group, which was lower than 15.53% in the control group, the difference was statistically significant（P〈0.05）.Conclusion Compared with the traditional open cholecystectomy, laparoscopic cholecystectomy has advantages of smaller trauma, shorter operation time, rapider recovery and lower complication incidence; its clinical effect is remarkable, and it deserves to be popularized if conditions allow.