腹腔镜胆囊切除术和开腹胆囊切除术后并发症发生率的对比

Complications after laparoscopic cholecystectomy and open cholecystectomy

目的评价胆囊结石患者救治中施以开腹胆囊切除术或者腹腔镜胆囊切除术的临床意义。方法选取胆囊结石患者118例,将其分为两组,其中常规组58例,选择开腹胆囊切除术对其施以治疗;治疗组60例,选择腹腔镜胆囊切除术对其施以治疗,观察两组手术指征和预后情况。结果评定疗效,发现治疗组术后排气时长以及住院时长、出血量等指标优于常规组(P<0.05);治疗组60例患者中有3例(5.00%)出现并发症,常规组58例中有17例(29.31%),差异均有统计学意义(P<0.05)。结论开腹手术以及腹腔镜手术都可以充分切除患者胆囊组织,但腹腔镜手术在创伤性、安全性等方面都表现出优势,有助于促进患者术后康复,防止出现并发症,因此建议在胆囊结石患者救治中持续应用。

Objective To evaluate the gall bladder calculi in patients treated with open cholecystectomy or the clinical significance of the laparoscopiccholecystectomy.Methods Selected118patients with gallbladder stone,it can be divided into two groups,including normal group of58cases,choose open cholecystectomy imposing treatment;Treatment group(60cases),the choice of laparoscopic cholecystectomy imposing treatment,observation of two groups of surgical indications and prognosis.Results The results of evaluation of curative effect,found that the treatment group,postoperative exhaust time hospitalization duration,blood loss,such as index is better than that of conventional group(P<0.05);Treatment group of60cases with3cases(5.00%)of complications,conventional group of58cases,17cases(29.31%),the difference had statistical significance(P<0.05).Conclusion laparotomy and laparoscopic surgery can be fully removed in patients with gallbladder tissue,but laparoscopic surgeryin traumatic,show the advantage in such aspects as safety,help to promote patients postoperative rehabilitation and prevent complications,it is recommendedthat continuous use in treating patients with gallbladder stone.