腹腔镜胆囊切除术治疗慢性胆囊炎合并胆囊结石的临床效果

Clinical effect of laparoscopic cholecystectomy in the treatment of chronic cholecystitis complicated with gallstone

目的探讨腹腔镜胆囊切除术治疗慢性胆囊炎合并胆囊结石患者的可行性以及安全性。方法选取2015年1月~2019年3月江西省赣州市安远县人民医院收治的72例慢性胆囊炎合并胆囊结石患者作为研究对象,根据随机数字表法分为研究组与常规组,每组各36例。研究组患者采用腹腔镜切除术进行治疗,常规组患者采用传统的开腹手术,比较两组患者的手术持续时间、术中出血量、术后住院时间、术后并发症总发生率、术后2 h的视觉模拟量表(VAS)评分及生活质量评分。结果研究组患者的手术持续时间、术后住院时间短于常规组,差异有统计学意义(P<0.05);研究组患者的术中出血量少于常规组,差异有统计学意义(P<0.05);研究组患者术后2 h的VAS评分低于常规组,差异有统计学意义(P<0.05);研究组患者的并发症总发生率为2.27%,低于常规组的19.05%,差异有统计学意义(P<0.05);研究组患者的躯体功能、心理功能、社会功能评分均高于常规组,差异有统计学意义(P<0.05)。结论慢性胆囊炎合并胆囊结石患者采用腹腔镜胆囊切除术进行治疗,可以降低患者术后并发症的发生率,同时能够缩短患者的手术时间,治疗效果显著。

Objective To investigate the feasibility and safety of laparoscopic cholecystectomy in the treatment of patients with chronic cholecystitis complicated with gallstones.Methods Seventy-two patients with chronic cholecystitis complicated with gallstones treated in Anyuan County People′s Hospital,Ganzhou City,Jiangxi from January 2015 to March 2019 were selected as the subjects.They were divided into study group and routine group according to random number table method,with 36 cases in each group.The patients in the study group treated with laparoscopic resection,while the patients in the routine group treated with traditional open surgery.The operation duration,intraoperative hemorrhage,postoperative hospital stay,total postoperative complications,visual analogue scale(VAS)score and quality of life score between the two groups were compared.Results The duration of operation and postoperative hospital stay in the study group were shorter than those in the routine group,and the differences were statistically significant(P<0.05).The amount of bleeding in the study group was less than that in the routine group,and the difference was statistically significant(P<0.05).The VAS score of the patients in the study group was lower than that in the control group at 2 hours after operation,and the difference was statistically significant(P<0.05).The total incidence of complications in the study group was 2.27%,which was lower than that of the routine group(19.05%),and the difference was statistically significant(P<0.05).The physical function,psychological function and social function score of the study group were higher than those of the routine group,and the differences were statistically significant(P<0.05).Conclusion Laparoscopic cholecystectomy can reduce the incidence of postoperative complications in patients with chronic cholecystitis and cholecystolithiasis,at the same time,it can shorten the operation time of patients,and the treatment effect is significant.