微创保胆取石术与腹腔镜胆囊切除术治疗胆结石的临床效果

目的:分析微创保胆取石术与腹腔镜胆囊切除术治疗胆结石的临床效果.方法:2017年2月到2018年12月,我院普外科收治的胆囊结石患者60例,随机分组,对照组、观察组各入组30例,分别采用腹腔镜胆囊切除术、微创保胆取石术.对照比较两组手术时间、术中出血量、术后卧床时间、住院时间.并发症发生情况,消化道症状出现率.结果:观察组手术时间高于对照组,差异有统计学意义(P<0.05).观察组术中出血量、术后卧床时间、住院时间与对照组差异无统计学意义(P>0.05).观察组术后复查胆囊收缩率(67.1±5.2)%高于术前(52.7±11.6)%,差异有统计学意义(P<0.05).观察组与对照组并发症发生率差异无统计学意义(P>0.05),观察组消化道症状发生率低于对照组,差异有统计学意义(P<0.05).结论:微创保胆取石术治疗胆结石是可行的,不会增加出血量、住院时间、卧床时间以及并发症发生风险,减轻消化道症状效果较好.

Objective:To analyze the clinical effect of minimally invasive cholecystectomy and laparoscopic cholecystectomy in the treatment of gallstones.Methods:From February 2017 to December 2018,60 patients with cholecystolithiasis were randomly divided into control group and observation group,30 cases in each group.Laparoscopic cholecystectomy and minimally invasive cholecystolithotomy were used respectively.The operation time,intraoperative bleeding volume,bedridden time and hospital stay were compared between the two groups.The incidence of complications and digestive tract symptoms.Results:The operation time of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference between the observation group and the control group in the amount of bleeding during operation,the time of bed rest after operation and the time of hospitalization(P > 0.05).The rate of gallbladder contraction in the observation group after operation was 67.1(+5.2)%higher than that before operation(52.7(+11.6)%).The difference was statistically significant(P<0.05).There was no significant difference in the incidence of complications between the observation group and the control group(P > 0.05).The incidence of digestive tract symptoms in the observation group was lower than that in the control group(P < 0.05).CONCLUSION:Minimally invasive gallstone-preserving surgery is feasible for the treatment of gallstones.It does not increase the amount of bleeding,hospital stay,bedridden time and the risk of complications,andhas a better effect in alleviating gastrointestinal symptoms.