腹腔镜胆囊切除术与微创保胆手术治疗胆囊结石效果分析及并发症发生率影响分析

Analysis of the Effect of Laparoscopic Cholecystectomy and Minimally Invasive Gallbladder Preservation on the Treatment of Gallstones and the Influence of Complications

目的研究腹腔镜胆囊切除术与微创保胆手术对于胆囊结石的治疗效果以及并发症发生概率的影响。方法选取该院接收的100例胆囊结石患者,该次实验研究的时间范围为2017年7月31日—2019年7月31日,采用随机数字表法将这些患者分为实验组与对照组,其中实验组患者50例,对照组患者50例,实验组患者采用微创担胆保手术进行治疗,对照组患者采用腹腔镜胆囊切除术治疗,比较两组患者的手术指标、并发症发生概率、治疗满意度、治疗效果、生活质量评分。结果实验组患者的治疗效果优于对照组患者,有效例数分别为47例、40例。两组之间的治疗效果差异有统计学意义(χ^2=4.332,P=0.037)。实验组患者的治疗满意度优于对照组患者,满意例数分别为47例、40例,两组之间的数据差异有统计学意义(χ^2=4.332,P=0.037)。实验组患者的生活质量评分优于对照组患者,分别为(84.22±1.15)分、(72.28±2.05)分,两组之间差异有统计学意义(t=35.919,P=0.000)。实验组患者的并发症发生概率低于对照组患者,两组之间差异有统计学意义(t=6.383,P=0.015)。结论胆囊结石患者进行微创保胆手术的效果良好,患者的创伤较小,手术相对较快,并发症发生概率较小,患者的治疗满意度较高,可以有效的改善胆结石患者的生活质量,值得在临床治疗当中进一步推广应用。

Objective To study the effects of laparoscopic cholecystectomy and minimally invasive gallbladder surgery on the treatment of gallstones and the probability of complications.Methods 100 patients with gallbladder stones received in the hospital were selected.The time range of this experimental study was from July 31,2017 to July 31,2019.These patients were divided into experimental group and control group by random number table method.Among them,50 patients in the experimental group,50 patients in the control group,the patients in the experimental group were treated with minimally invasive gallbladder surgery,and the patients in the control group were treated with laparoscopic cholecystectomy.The surgical indicators and the probability of complications,treatment satisfaction,treatment effect,quality of life score were compared between the two groups.Results The treatment effect of the patients in the experimental group was better than that in the control group,and the effective number was 47 and 40 respectively.There was a big difference in the treatment effect between the two groups(χ^2=4.332,P=0.037).The treatment satisfaction of the patients in the experimental group was better than that in the control group.The number of satisfied patients was 47 and 40,respectively.There were differences in the data between the two groups(χ^2=4.332,P=0.037).The operation indexes of the patients in the experimental group were better than those in the control group.The quality of life scores of the patients in the experimental group were better than those in the control group,which were(84.22±1.15)points,(72.28±2.05)points,and the data between the two groups were statistically significant(t=35.919,P=0.000).The probability of complications in the experimental group was lower than that in the control group,and the data between the two groups was statistically significant(t=6.383,P=0.015).Conclusion Patients with gallbladder stones undergo minimally invasive gallbladder preservation surgery with good results.The patients have less trauma,relatively quick surgery,less probable occurrence of complications,and patients with higher treatment satisfaction,which can effectively improve the lives of patients with gallstones,which is worthy of further promotion and application in clinical treatment.