腹腔镜胆囊切除术与开腹手术治疗胆结石的效果比较

Effect comparison of laparoscopic cholecystectomy and laparotomy in the treatment of gallstones

目的比较腹腔镜胆囊切除术与开腹手术治疗胆结石的临床效果。方法选取2019年1月-2020年4月于解放军联勤保障部队第九六二医院收治的胆结石患者100例,按随机数字表法分为对照组与观察组,各50例。对照组患者行常规开腹手术治疗,观察组患者实施腹腔镜胆囊切除术,比较两组临床疗效及预后情况。结果观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。观察组术中出血量少于对照组,手术时间、术后排气时间、住院时间均短于对照组,术后视觉模拟评分低于对照组,差异有统计学意义(P<0.05)。观察组术后肠粘连发生率及并发症总发生率均低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜胆囊切除术与开腹手术均能有效治疗胆结石,相比而言,腹腔镜胆囊切除术的临床效果更佳,恢复快,创伤小,术后并发症少,值得临床推广使用。

Objective To compare the effect of laparoscopic cholecystectomy and laparotomy in the treatment of gallstones.Methods One hundred cases of gallstone patients in 962 Hospital,Joint Logistics Support Force of PLA,from January 2019 to April 2020 were selected and divided into control group and observation group according to Random number table method,50 cases in each group.Control group received conventional laparotomy,while observation group received laparoscopic cholecystectomy.Clinical efficacy and prognosis of two groups were compared.Results Total effective rate of observation group was higher than that of control group,the differences was statistically significant(P<0.05).The intraoperative blood loss of observation group was less than that of control group,operation time,postoperative exhaust time and hospitalization time of observation group were shorter than those of control group,and postoperative visual analog score of observation group was lower than that of control group,the differences were statistically significant(P<0.05).The incidence rate of postoperative intestinal adhesion and total incidence rate of complications in observation group were lower than those in control group,the differences were statistically significant(P<0.05).Conclusion Laparoscopic cholecystectomy and laparotomy can both effectively treat gallstones.However,clinical effect of laparoscopic cholecystectomy is superior to that of laparotomy.It has faster recovery,less trauma,less postoperative complication,and therefore,it is worthy of promotion clinically.