腹腔镜与普通开腹治疗胆囊结石术后并发症及相关因素分析

Analysis of Postoperative Complications and Related Factors of Laparoscopy and Ordinary Laparotomy for Gallbladder Stones

目的:探索腹腔镜与普通开腹两种手术方式用于胆囊结石治疗术后并发症及其相关因素的发生情况。方法:回顾性选取2018年3月~2019年5月于本院诊治的胆结石患者125例作为研究对象,根据不同的手术方式,分为观察组(n=64)和对照组(n=61),观察组采用腹腔镜胆囊切除术,对照组应用传统的开腹手术方案,分析组间并发症及相关指标变化意义。结果:经过对比两组患者术后并发症发生情况,观察组术中出血量、手术时间、术后首次排气时间、拔引流管时间、住院时间均明显短于对照组,差异具有统计学意义(P<0.05)。结论:临床上应用腹腔镜手术治疗方案,降低胆结石患者术后并发症,临床疗效显著,术后恢复快。

Objective:To explore the occurrence of complications and related factors after the treatment of gallbladder stones by laparoscopic and ordinary laparotomy.Methods:125 cases of gallstone patients diagnosed and treated in our hospital from March 2018 to May 2019 were selected retrospectively as the research objects.According to different surgical methods,they were divided into experimental group(n=64)and control group(n=61),the experimental group used laparoscopic cholecystectomy,and the control group used traditional open surgery.The complications and the significance of changes in related indicators between the groups were analyzed.Results:After comparing the postoperative complications of the two groups of patients,the experimental group’s intraoperative blood loss,operation time,first postoperative exhaust time,drainage tube removal time,and hospital stay were significantly shorter than those of the control group.The difference was statistically significant(P<0.05).Conclusion:The clinical application of laparoscopic surgery treatment can reduce the postoperative complications of patients with gallstones.The clinical effect is significant and the postoperative recovery is quick.