腹腔镜胆囊切除术治疗复杂性胆囊结石的临床疗效

Clinical effect of laparoscopic cholecystectomy on complex gallstone

目的探究腹腔镜胆囊切除术治疗复杂性胆囊结石的临床疗效。方法将我院收治的92例复杂性胆囊结石患者随机分成两组,各46例。观察组行腹腔镜胆囊切除术,对照组行开腹手术,比较两组患者手术效果、手术情况、并发症发生情况等。结果观察组的治疗总有效率显著高于对照组(P<0.05)。观察组的手术时间、出血量、住院时间显著优于对照组(P<0.05)。观察组术后并发症总发生率显著低于对照组(P<0.05)。观察组的手术切口长度、导尿管留置时间、疼痛程度、术后下床活动时间等指标显著优于对照组(P<0.05)。结论为复杂性胆囊结石患者提供腹腔镜胆囊切除术效果理想,有助于减少患者术中出血量、降低并发症发生率,同时该种手术方式给患者造成的创伤更小,安全性更高,有助于缩短患者术后康复时间。

Objective To investigate the clinical efficacy of laparoscopic cho lecystectomy in the treatment of complex gallstone. Methods A total of 92 patients with complex gallstones admitted in our hospital were selected and randomly divided into two groups, with 46 cases in each group. The observation group was given laparoscopic cholecystectomy, the control group was given laparotomy. The operative effects, operative conditions and complications of the two groups were compared. Results The total effective rate in the observation group was significantly higher than that in the control group（P 〈0.05）. The operation time, the amount of intraoperative blood loss and hospital stays in the observation group were significantly better than those in the control group（P〈 0.05）. The total incidence of postoperative complications in the observation group was significantly lower than that in the control group（P〈0.05）. The length of surgical incision, catheter indwelling time, pain degree and postoperative activity time out of bed in the observation group were significantly better than those in the control group（P〈0.05）. Conclusion Laparoscopic cholecystectomy is an effective method for patients with complex gallstone, which can help reduce the amount of intraoperative blood loss and reduce the incidence of postoperative complications. At the same time, the surgical procedure results in fewer traumas and more safety for patients, help to shorten the recovery time of patients after surgery.