腹腔镜胆囊切除术治疗胆结石的效果及安全性分析

Effect and safety analysis of laparoscopic cholecystectomy in the treatment of gallstones

目的研究腹腔镜胆囊切除术治疗胆结石的效果及安全性。方法50例胆结石患者,采取随机数字表法分为对照组和观察组,各25例。对照组患者采用开腹胆囊切除术治疗,观察组患者采用腹腔镜胆囊切除术治疗。对比两组患者相关指标及并发症发生率。结果观察手术时间(49.53±10.47)min、肛门排气时间(18.57±5.48)h及住院时间(6.85±1.52)d均短于对照组的(92.31±18.75)min、(44.37±8.77)h、(8.97±2.53)d,术中出血量(69.56±11.49)ml少于对照组的(144.36±16.75)ml,差异具有统计学意义(P<0.05)。观察组并发症发生率4.00%低于对照组的24.00%,差异具有统计学意义(P<0.05)。结论采用腹腔镜胆囊切除术治疗胆结石,其手术时间、肛门排气时间及住院时间短,且并发症少,值得推广。

Objective To study the effect and safety of laparoscopic cholecystectomy in the treatment of gallstones.Methods A total of 50 patients with gallstones were randomly divided into control group and observation group,with 25 cases in each group.Patients in the control group were treated with open cholecystectomy,and patients in the observation group were treated with laparoscopic cholecystectomy.The related indicators and complication rates of the two groups were compared.Results In the observation group,the operation time was(49.53±10.47)min,the anal exhaust time was(18.57±5.48)h and the hospitalization time was(6.85±1.52)d,which were shorter than(92.31±18.75)min,(44.37±8.77)h,and(8.97±2.53)d in the control group,and the intraoperative blood loss(69.56±11.49)ml was less than(144.36±16.75)ml in the control group.All the differences were statistically significant(P<0.05).The complication rates 4.00%in the observation group were lower than 24.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic cholecystectomy for the treatment of gallstones has short operation time,anal exhaust time and hospitalization time,and fewer complications,which is worthy of promotion.