腹腔镜胆囊切除术与小切口胆囊切除术治疗胆结石疗效对比分析

Comparison of Laparoscopic Cholecystectomy and Small Incision Cholecystectomy in the Treatment of Gallstones

目的对比在治疗胆结石中采取小切口胆囊切除术与腹腔镜胆囊切除术的临床效果。方法方便选取该院自2016年3月—2017年3月期间收治的110例胆结石患者作为研究样本,采取随机数字表法形式随机分为参照组(n=55)与实验组(n=55),将采取小切口胆囊切除术治疗患者当做参照组,将采取腹腔镜胆囊切除术治疗患者作为实验组,分析对比两组胆结石患者经不同手术后的临床效果。结果实验组患者住院时间、术后排气时间、治疗总有效率98.18%、并发症发生率3.63%等指标显著优于参照组患者(治疗总有效率93.63%、并发症发生率18.18%),组间对比差异有统计学意义(P<0.05)。结论将小切口胆囊切除术与腹腔镜胆囊切除术应用在治疗胆结石中均存在一定效果,但腹腔镜胆囊切除术显著更优,值得临床广泛推广。

Objective This paper tries to compare the clinical effect of small incision cholecystectomy and laparoscopic cholecystectomy in the treatment of gallstones. Methods 110 patients with gallstones from March 2016 to March 2017 were conveniently divided into two groups by random number table, with 55 cases in each group. The control group adopted the small incision cholecystectomy, and the experimental group adopted laparoscopic cholecystectomy, and the clinical effects of two groups of patients with gallstones were compared. Results The total effective rate was 98.18% and the complication rate was 3.63%, and the hospitalized time, postoperative exhaust time in the experimental group were significantly better than those in the control group（the total effective rate was 93.63% and the complication rate was 18.18%）. The difference between the groups were significant, so there was statistically significant difference（P〈0.05）. Conclusion Small incision cholecystectomy and laparoscopic cholecystectomy have some effect in the treatment of gallstones, but the laparoscopic cholecystectomy is significantly better, which is worthy of clinical promotion.