肝硬化合并胆囊结石应用不同手术治疗的临床效果

Clinical Effect of Different Surgical Treatments for Liver Cirrhosis Complicated with Gallbladder Stones

目的分析肝硬化合并胆囊结石患者应用不同手术治疗的临床效果,探讨其安全性。方法方便抽取2018年1月—2020年12月于该院进行诊治的肝硬化合并胆囊结石患者58例,根据随机抽签方式进行分组,组别为参照组与观察组,每组29例。参照组治疗方式选择开腹胆囊切除术,观察组治疗方式选择腹腔镜胆囊切除术。对两组患者临床疗效、手术指标(手术出血量、手术时间、手术后引流量、手术后引流时间、手术后排气时间以及住院时间)以及并发症发生率进行对比。结果观察组患者临床治疗总有效率、并发症发生率、手术出血量、手术时间、手术后引流量、手术后引流时间、手术后排气时间以及住院时间分别为96.55%、6.89%、(71.47±10.18)mL、(69.42±9.76)min、(281.57±18.51)mL、(2.01±1.15)d、(1.45±0.64)d、(8.24±1.26)d,各项数据均优于参照组,差异有统计学意义(χ^(2)=4.734、5.497,t=22.389、15.142、22.067、10.189、3.848、9.710,P<0.05)。结论肝硬化合并胆囊结石患者应用腹腔镜胆囊切除术,可有效降低患者术后并发症发生率,改善患者手术指标,进而提升临床治疗的效果,对患者康复具有积极的意义。

Objective To analyze the clinical effects of different surgical treatments for patients with liver cirrhosis and gallbladder stones,and to explore its safety.Methods 58 patients with liver cirrhosis and gallbladder stones who were diagnosed and treated in the hospital from January 2018 to December 2020 were conveniently selected.According to the random drawing method,the groups were divided into the reference group and the observation group,with 29 patients in each group.The treatment mode of the reference group was open cholecystectomy,and the treatment mode of the observation group was laparoscopic cholecystectomy.The clinical efficacy,surgical indicators(surgical blood loss,operation time,postoperative drainage,postoperative drainage time,postoperative exhaust time,and hospitalization time)and the incidence of complications were compared between the two groups of patients.Results The total effective rate of clinical treatment,complication rate,surgical bleeding,operation time,postoperative drainage,postoperative drainage time,postoperative exhaust time,and hospital stay were observed in the observation group were 96.55%,6.89%,(71.47±10.18)mL,(69.42±9.76)min,(281.57±18.51)mL,(2.01±1.15)d,(1.45±0.64)d,(8.24±1.26)d,which were better than the reference group,and the difference was statistically significant(χ^(2)=4.734,5.497,t=22.389,15.142,22.067,10.189,3.848,9.710,P<0.05).Results The application of laparoscopic cholecystectomy for patients with liver cirrhosis and gallbladder stones can effectively reduce the incidence of postoperative complications,improve the surgical indicators of the patients,and improve the clinical treatment effect,which has positive significance for the rehabilitation of patients.