分析对比腹腔镜胆囊切除术与保胆取石术治疗胆囊结石的临床效果

To Analyze and Compare the Clinical Effect of Laparoscopic Cholecystectomy and Gallstone Preserving Cholecystectomy in the Treatment of Gallstones

目的:探究对胆囊结石患者使用腹腔镜胆囊切除术与保胆取石术的治疗效果进行对比。方法:选择2019年9月~2020年9月本院收治的312例胆囊结石作为研究对象,随机均分为两组:观察组、对照组,各156例。对照组患者行胆囊切除术治疗,观察组患者行保胆取石术治疗,记录并对比两组患者进食恢复、住院、手术时间以及术中出血量、临床疗效以及近期并发症发生情况。结果:较对照组患者,观察组患者手术时间、术中出血量、住院时间、进食恢复时间均明显更少(P均<0.05),且术后临床疗效明显更好(P<0.05)。术后近期并发症发生率明显较低(P<0.05)。结论:通过对胆囊结石行保胆取石术治疗,能缩短患者术后恢复时间、缩短治疗时间,降低并发症发生率和术后出血量,起到良好的临床治疗效果。

Objective:To compare the efficacy of laparoscopic cholecystectomy(LC)and cholecystolithotomy for patients with cholecystolithiasis.Methods:312 cases of cholecystolithiasis admitted to our hospital from September 2019 to September 2020 were selected as the study objects,and randomly divided into two groups:study group and control group,156 cases each.Patients in the control group were treated with cholecystectomy,while patients in the study group were treated with biliary lithotomy.The recovery of food,hospitalization,operation time,intraoperative blood loss,clinical efficacy and recent complications were recorded and compared between the two groups.Results:Compared with the control group,the time of operation,intraoperative blood loss,hospital stay and recovery time of eating were significantly less in the study group(all P<0.05),and the clinical efficacy was significantly better after operation(P<0.05).The incidence of postoperative complications was significantly lower(P<0.05).Conclusion:Cholecystolithiasis can be treated by biliotomy,which can shorten the postoperative recovery time and treatment time,reduce the incidence of complications and postoperative blood loss,and play a good clinical therapeutic effect.