腹腔镜下胆囊切除术治疗胆囊结石的临床效果研究

Study on the Clinical Effect of Laparoscopic Cholecystectomy in the Treatment of Gallbladder Stones

目的:研究探讨腹腔镜下胆囊切除术治疗胆囊结石的临床效果。方法:将笔者所在医院2015年7月-2017年7月收治的胆囊结石患者进行统计,随机抽取146例进行临床分析,根据随机数字法将其分为对照组和分析组,每组73例。对照组患者采用普通开腹手术治疗,分析组患者采用腹腔镜下胆囊切除术治疗。观察统计两组患者的临床效果。结果:分析组患者的进食时间、排气排便时间及胆囊窝和肝下积液量均优于对照组,差异均有统计学意义(t=32.213、47.328、30.119,P<0.05);对照组患者的并发症发生率高于分析组,差异有统计学意义(X^2=10.225,P<0.05)。结论:胆囊结石患者给予腹腔镜下胆囊切除术治疗可明显降低住院时间,减少术中出血量,降低并发症发生率等,具一定安全性。

Objective：To investigate the clinical effect of laparoscopic cholecystectomy in the treatment of gallbladder calculi.Method：A total of 146 patients with cholecystolithiasis admitted in our hospital from July 2015 to July 2017 were selected for clinical analysis,and according to the random number table they were divided into control group and analysis group,73 cases in each group.The control group was treated by open surgery.The patients in the analysis group were treated by laparoscopic cholecystectomy.The clinical effects of the two groups were observed and analyzed.Result：The eating time,exhaust defecation time and gallbladder fossa and liver drain volume in the analysis group were all better than those in the control group,the differences were statistically significant（t=32.213,47.328,30.119,P〈0.05）.The incidence of complications in the control group was higher than that in the analysis group,and the difference was statistically significant（ X2=10.225,P〈0.05）.Conclusion：Laparoscopic cholecystectomy for patients with cholecystolithiasis can obviously shorten the time of hospitalization,reduce the amount of bleeding in the operation,and reduce the incidence of complications,and it has certain safety.