微创保胆取石术与腹腔镜胆囊切除术治疗胆囊结石的疗效对比研究

Comparative study on the effect of minimally invasive gallbladder-protected lithotomy and laparoscopic cholecystectomy in the treatment of cholecystolithiasis

目的:比较微创保胆取石术与腹腔镜胆囊切除术治疗胆囊结石的疗效。方法:2017年1月-2020年1月收治胆囊结石患者100例,随机分为两组,各50例。对照组予以腹腔镜胆囊切除术治疗,观察组则予以微创保胆取石术治疗,比较两组治疗效果。结果:观察组手术时间、术后排气恢复时间、住院时间、术中出血量、术后镇痛率、术后并发症率及住院费用均低于对照组,差异有统计学意义(P<0.05);两组随访半年时复发率比较,差异无统计学意义(P>0.05);观察组治疗后丙氨酸氨基转移酶(ALT)水平低于对照组,差异有统计学意义(P<0.05)。结论:与腹腔镜胆囊切除术比较,应用微创保胆取石术治疗胆囊结石的疗效更优。

Objective:To compare the curative effect of minimally invasive gallbladder-protected lithotomy and laparoscopic cholecystectomy in the treatment of cholecystolithiasis.Methods:From January 2017 to January 2020,100 cases of patients with cholecystolithiasis were enrolled,they were randomly divided into two groups with 50 cases in each group.The control group was treated by laparoscopic cholecystectomy.The observation group was treated by minimally invasive gallbladder-protected lithotomy.The therapeutic effects between the two groups was compared.Results:The operative time,postoperative exhaust recovery time,length of hospital stays,amount of intraoperative blood loss,postoperative analgesia rate,the incidence of postoperative complications and hospitalization cost in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The recurrence rates between the two groups at half-year follow-up was compared,the difference was not statistically significant(P>0.05).After treatment,the ALT level in the observation group was lower than in the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with laparoscopic cholecystectomy,minimally invasive gallbladder-protected lithotomy is more effective in the treatment of cholecystolithiasis.