腹腔镜微创手术治疗胆囊结石的临床疗效及其对预后的影响价值分析

Clinical Efficacy of Laparoscopic Minimally Invasive Surgery for the Treatment of Gallbladder Stones and Its Impact on Prognosis

目的研究并分析腹腔镜微创手术治疗胆囊结石的临床疗效。方法在该院2015年3月—2018年4月间收治的胆囊结石患者中选择80例进行该次研究分析,80例患者实施随机数字表法分组,对照组采取常规开腹外科手术治疗,观察组则实施腹腔镜微创手术治疗,各40例,对比两组的手术疗效和预后情况。结果观察组手术时间平均为(40.7±9.8)min、术中出血量为(28.6±4.2)mL、住院时间平均为(4.6±1.4)d、肛门排气时间为(12.8±3.6)h、均显著低于对照组,差异有统计学意义(t=55.253、31.743、3.192、21.174;P<0.05)。对比并发症发生率也提示观察组更低,为2.5%,差异有统计学意义(χ~2=5.000;P<0.05)。比较两组术后生存质量评分,提示观察组生存质量总分为(87.6±2.4)分,改善效果更佳,差异有统计学意义(t=12.290;P<0.05)。结论腹腔镜微创手术治疗胆囊结石的效果显著,患者术后康复速度更快,预后效果良好,值得推广应用。

Objective To study and analyze the clinical efficacy of laparoscopic minimally invasive surgmT for gall- stones. Methods Eighty patients with gallstones admitted between March 2015 and April 2018 in the hospital were se- lected for this study. Eighty patients were randomized by digital table and the control group was treated with conven- tional open surgmT. The observation group underwent laparoscopic minimally invasive surgmT, 40 cases in each group, comparing the surgical outcome and prognosis of the two groups. Results The average operation time of the observation group was （40.7＋9.8）rain, the intraoperative blood loss was （28.6＋4.2）mL, the average hospitalization time was （4.6＋1.4）d, and the anus exhaust time was （12.8＋3.6）h. Both were significantly lower than the control group, ,the different was sta- tistically significant（t=55.253,31.743,3.192,21.174; P〈0.05）. The complication rate of the observation group was lower of 2.5%,the different was statistically significant （X2=5.000; P〈0.05）. The postoperative quality of life scores of the two groups were compared, suggesting that the overall quality of life in the observation group was （87.6＋2.4） points, and the improvement was better,the different was statistically significant（t=12.290; P〈0.05）. Conclusion Laparoscopic minimal- ly invasive surgery is effective in the treatment of gallstones. The postoperative recovery rate is faster and the prognosis is good. It is worthy of popularization and application.