微创保胆取石术与腹腔镜胆囊切除术应用于胆结石的治疗效果比较

Comparation of Minimally Invasive Cholecystolithotomy and Laparoscopic Cholecystotomy in the Treatment of Gallstone

目的:比较微创保胆取石术与腹腔镜胆囊切除术治疗胆结石的效果。方法:纳入笔者所在医院2018年7月-2019年7月收治的112例胆结石患者,根据手术方式的不同将其分为观察组与对照组,各56例。观察组应用微创保胆取石术治疗,对照组应用腹腔镜胆囊切除术治疗。比较两组消化病生存质量指数(GLQI)评分、手术指标及并发症发生情况。结果:两组术后1个月GLQI评分比较差异无统计学意义(P>0.05);术后6个月观察组GLQI评分高于对照组,差异有统计学意义(P<0.05)。观察组手术时间、住院时间均短于对照组,排气时间早于对照组,差异有统计学意义(P<0.05)。观察组术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为1.79%,低于对照组的14.29%,差异有统计学意义(P<0.05)。结论:胆结石应用微创保胆取石术治疗可缩短手术时间及住院时间,术中出血量少,降低术后并发症发生率,可提高生存质量。

Objective:To compare the effect of minimally invasive cholecystolithotomy and laparoscopic cholecystotomy in the treatment of gallstone.Method:A total of 112 gallstone patients admitted in our hospital from July 2018 to July 2019 were included.According to different surgical methods,they were divided into the observation group and the control group,56 patients in each group.The observation group was treated with minimally invasive cholecystolithotomy,while the control group was treated with laparoscopic cholecystotomy.The digestive disease quality of life index(QLQI)score,operation indexes and complications were compared between the two groups.Result:There was no significant difference in GLQI score between the two groups 1 month after operation(P>0.05).The GLQI score of the observation group 6 months after operation was higher than that of the control group,and the difference was statistically significant(P<0.05).The operation time and hospital stay of the observation group were shorter than those of the control group,and the exhaust time was earlier than that of the control group,and the differences were statistically significant(P<0.05).The intraoperative blood loss in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).The complication rate of the observation group was 1.79%,which was lower than 14.29%of the control group,and the difference was statistically significant(P<0.05).Conclusion:Minimally invasive cholecystolithotomy for gallstones can shorten the operation time and hospital stay,reduce intraoperative blood loss,reduce the incidence of postoperative complications,and improve the quality of life.