经脐腹腔镜胆囊切除术的应用探究

Application of Umbilical Laparoscopic Cholecystectomy

目的探讨经脐腹腔镜胆囊切除术的临床应用效果。方法方便选取2016年6月—2017年6月来该院治疗胆囊结石的患者90例作为研究对象,按照数字表法随机分为对照组和研究组,对照组患者采用传统腹腔镜胆囊切除术进行治疗,研究组患者采用经脐腹腔镜胆囊切除术进行治疗,对比两组患者治疗效果。结果研究组手术时间(19.1±2.8)min明显少于对照组手术时间(44.1±3.4)min(t=17.452,P<0.05),研究组术后住院时间(8.7±0.9)d显著短于对照组术后住院时间(13.3±1.2)d(t=22.125,P<0.05),研究组术中出血量(69.2±8.4)m L明显少于对照组术中出血量(110.9±10.2)m L(t=20.391,P<0.05),此外研究组患者在术后3 d、术后1周、术后2周及术后1个月的疼痛程度明显低于对照组(t=13.342、12.851、11.306、11.662,P<0.05)。结论胆囊切除患者采用经脐腹腔镜胆囊切除术进行治疗的效果更佳,手术时间短、术中出血量少、住院时间短、切口感染例数少,且患者的疼痛程度低,值得在临床中广泛推广应用。

Objective This paper tries to explore the clinical effect of laparoscopic cholecystectomy via umbilical laparoscopy. Methods 90 patients who were treated with gallstone in the hospital from June 2016 to June 2017 were convenient selected into two groups： the control group and the study group according to the digital table method. The control group was treated with traditional laparoscopic cholecystectomy. In the treatment group, patients in the study group were treated with umbilical laparoscopic cholecystectomy, and the treatment effect was compared between the two groups of patients. Results The operative time of the study group was（19.1±2.8）min was significantly less than the control group（44.1±3.4）min（t=17.452, P〈0.05）. The hospital stay（8.7±0.9）d in the study group was significantly shorter than the control group of（13.3 ±1.2）days（t=22.125, P〈0.05）. The intraoperative blood loss（69.2 ±8.4）m L in the study group was significantly less than the control group intraoperative blood loss（110.9±10.2）m L（t= 20.391, P〈0.05）, In addition, the degree of pain in the study group at 3 days after surgery, 1 week after surgery, 2 weeks after surgery, and 1 month after surgery was significantly lower than that in the control group（t=13.342, 12.851, 11.306, 11.662, P〈0.05）. Conclusion Patients undergoing cholecystectomy are better treated with umbilical laparoscopic cholecystectomy, with shorter operative time, less intraoperative blood loss, shorter hospital stay, fewer incision infections, and lower degree of pain in patients, which is worthy of being widely used in clinical practice.