比较胆囊结石合并胆囊炎患者应用开腹手术与腹腔镜微创手术治疗的临床效果

Comparison on the clinical effect of laparotomy and laparoscopic minimally invasive surgery in the treatment of cholecystolithiasis complicated with cholecystitis

目的分析采用开腹手术和腹腔镜微创手术治疗胆囊结石合并胆囊炎患者的临床效果。方法110例胆囊结石合并胆囊炎患者,按照手术治疗方法不同分为观察组和对照组,各55例。两组患者均给予常规药物治疗,在此基础上对照组行常规开腹手术治疗,观察组实施腹腔镜微创手术治疗。对比两组患者的治疗效果以及治疗前后生存质量评分。结果观察组治疗总有效率为98.18%,与对照组的96.36%比较,差异无统计学意义(P>0.05)。治疗后,两组患者生存质量评分均高于治疗前,且观察组生存质量评分(91.41±2.59)分显著高于对照组的(86.75±3.86)分,差异有统计学意义(P<0.05)。结论胆囊结石合并胆囊炎患者实施腹腔镜微创手术治疗具有良好的治疗效果,治愈率高,且术后患者的生存质量良好,具有较高临床推广价值。

Objective To analyze the clinical effect of laparotomy and laparoscopic minimally invasive surgery in the treatment of cholecystolithiasis complicated with cholecystitis.Methods A total of 110 cases of cholecystolithiasis complicated with cholecystitis were divided into observation group and control group according to different treatment methods,with 55 cases in each group.Patients in both groups were treated with conventional drugs.On this basis,the control group underwent conventional laparotomy,and the observation group underwent laparoscopic minimally invasive surgery.The therapeutic effect and quality of life scores before and after treatment were compared between the two groups.Results The total effective rate of treatment in the observation group was 98.18%,which was not statistically significant compared with 96.36%in the control group(P>0.05).After treatment,the quality of life scores of the two groups were higher than those of this group before treatment,and the quality of life scores(91.41±2.59)points of the observation group were significantly higher than(86.75±3.86)points of the control group.All the differences were statistically significant(P<0.05).Conclusion Laparoscopic minimally invasive surgery has good effect,high healing rate and good postoperative quality of life,which is worthy of promotion.