腹腔镜胆囊切除术治疗胆结石的效果探讨

Discussion on the effect of laparoscopic cholecystectomy on gallstone

目的:探讨用腹腔镜胆囊切除术治疗胆结石的效果。方法:从2015年4月至2017年4月期间都江堰宁江医院普外科收治的需进行手术治疗的胆结石患者中选取124例患者作为研究对象。将其随机分为观察组和对照组。为观察组62例患者采用腹腔镜胆囊切除术进行治疗,为对照组62例患者采用传统的开腹胆囊切除术进行治疗。然后比较两组患者的各项手术指标。结果:观察组患者手术的时间、切口的长度、术毕至可下床的时间、术毕至排气的时间、术后疼痛症状持续的时间及住院的时间均短于对照组患者,其术中的出血量少于对照组患者,P<0.05。在术后,观察组患者肠粘连、肠梗阻、尿潴留、切口感染等并发症的发生率及止痛药的使用率均低于对照组患者,P<0.05。结论:用腹腔镜胆囊切除术治疗胆结石的效果确切,具有创伤小、患者术后恢复快、并发症的发生率低等优点。

objective： to explore the effect of laparoscopic cholecystectomy on gallstone. Methods： from April 2015 to April 2017, 124 cases of patients with gallstone requiring surgical treatment were selected as subjects of the study. They were randomly divided into observation group and control group. Sixty-two patients in the observation group were treated with laparoscopic cholecystectomy, and 62 patients in the control group were treated with traditional laparoscopic cholecystectomy. The surgical indicators were then compared between the two groups. Results： the duration of surgery, incision length, time to get out of bed after surgery, time to discharge after surgery, duration of postoperative pain symptoms and length of hospitalization were all shorter in the observation group than in the control group, and the intraoperative blood loss was less than that of the control group, P〈 0.05. After surgery, the incidence of complications such as intestinal adhesion, intestinal obstruction, urinary retention, wound infection and the use of painkillers in the observation group were lower than those in the control group, P〈 0.05. Conclusion： laparoscopic cholecystectomy is effective in the treatment of gallstone.