经脐单孔与三孔法腹腔镜胆囊切除术治疗结石性胆囊炎的疗效分析

Efficacy analysis of transumbilical single-port and three-port laparoscopic cholecystectomy in the treatment of calculous cholecystitis

目的探讨结石性胆囊炎应用经脐单孔与三孔法腹腔镜胆囊切除术治疗的临床疗效。方法选取2018年1月至2019年6月沈阳医学院附属中心医院接收的86例结石性胆囊炎患者作为研究对象,按照随机数字表法分为观察组和对照组,每组各43例。观察组接受经脐单孔腹腔镜胆囊切除术治疗,对照组接受三孔法腹腔镜胆囊切除术治疗。比较两组的手术时间和术后住院时间、术后切口疼痛评分、术后切口美容满意度评分、术后镇痛用药率、术后并发症发生率。结果观察组手术时间长于对照组,术后住院时间短于对照组,差异有统计学意义(P<0.05);观察组术后切口美容满意度评分高于对照组,差异有统计学意义(P<0.05);观察组术后切口疼痛评分、术后镇痛用药率低于对照组,差异有统计学意义(P<0.05);两组的术后并发症发生率比较,差异无统计学意义(P>0.05)。结论将经脐单孔腹腔镜胆囊切除术应用在结石性胆囊炎治疗中,尽管手术时间相对长一些,但能够获得很好的疗效,有更多的优势,即术后疼痛更轻,可减少镇痛用药,同时提高患者对切口美容满意程度,值得应用。

Objective To investigate the clinical efficacy of transumbilical single-port and three-port laparoscopic cholecystectomy in the treatment of calculous cholecystitis.Methods A total of 86 patients with calculous cholecystitis admitted to Affiliated Central Hospital of Shenyang Medical College from January 2018 to June 2019 were selected as the research objects,and divided into the observation group and the control group according to the random number table method,with 43 cases in each group.The observation group was treated with transumbilical single-port laparoscopic cholecystectomy,and the control group was treated with transumbilical three-port laparoscopic cholecystectomy.The surgical time and postoperative hospitalization time,incision pain score,analgesia medication rate,incidence of complications,and cosmetic incision satisfaction score were compared between the two groups.Results The surgical time of the observation group longer than that of the control group,and the postoperative hospitalization time of the observation group was shorter than that of the control group,the differences were statistically significant(P<0.05).The postoperative cosmetic satisfaction score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The postoperative incision pain score and analgesia medication rate of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Incidence of postoperative complications was compared between the two groups,and the difference was not statistically significant(P>0.05).Conclusion Transumbilical single-port laparoscopic cholecystectomy is used in the treatment of calculous cholecystitis.Although the operation time is relatively long,it can obtain good curative effect and has more advantages,that is,postoperative pain is lighter and can be reduce the use of analgesics,and to improve patients′satisfaction with incision beauty.It is worthy to use.