开腹手术与微创手术治疗胆道结石的效果分析

Effect Analysis of Open Surgery and Minimally Invasive Surgery in Treatment of Biliary Calculi

目的:探讨开腹手术与微创手术治疗胆道结石的效果。方法:选取2021年6月—2022年6月南通市海门区海门港新区(包场镇)中心卫生院收治的74例胆道结石患者作为研究对象,根据随机数字表法分为研究组和对照组,各37例。对照组实施开腹手术治疗,研究组实施微创手术治疗,比较两组临床指标、治疗效果、不良反应发生情况、生活质量评分。结果:研究组手术时间、术后排气时间、住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P=0.000 0)。研究组治疗总有效率高于对照组,差异有统计学意义(P=0.024 7)。研究组不良反应发生率低于对照组,差异有统计学意义(P=0.012 9)。治疗前,两组生理功能、社会功能、情感职能、生理职能、躯体疼痛、精神健康、活力、总体健康评分比较,差异无统计学意义(P>0.05);治疗后,研究组生理功能、社会功能、情感职能、生理职能、躯体疼痛、精神健康、活力、总体健康评分均高于对照组,差异有统计学意义(P=0.000 0)。结论:与传统开腹手术比较,微创手术治疗胆道结石的效果较优,可缩短手术时间,减少术中出血量,降低不良反应发生率,提高患者生活质量。

Objective:To investigate the effects of open surgery and minimally invasive surgery in the treatment of biliary calculi.Methods:A total of 74 patients with biliary calculi who were treated in the Central Health Center of Haimen Port New District(Baochang Town)of Haimen District of Nantong City from June 2021 to June 2022 were selected as the study subjects.They were divided into control group and study group according to random number table method,with 37 cases in each group.The control group was treated with open surgery,and the study group was treated with minimally invasive surgery.The clinical indexes,treat⁃ment effect,occurrence of adverse reactions and quality of life scores in the two groups were compared.Results:The operation time,postoperative exhaust time and length of hospital stay in the study group were shorter than those in the control group,and the intraoperative blood loss in the study group was less than that in the control group,and the difference was statistically significant(P=0.0000).The overall effective rate of treatment in the study group was higher than that in the control group,and the difference was statistically significant(P=0.0247).The incidence of adverse reactions in the study group was lower than that in the control group,and the difference was statistically significant(P=0.0129).Before treatment,there were no significant differences in physi⁃ological function,social function,emotional function,physiological function,somatic pain,mental health,vitality and overall health scores between the two groups(P>0.05).After treatment,the physiological function,social function,emotional function,physiological function,somatic pain,mental health,vitality and overall health scores in the study group were higher than those in the control group,and the differences were statistically significant(P=0.0000).Conclusion:Compared with traditional open sur⁃gery,minimally invasive surgery has better effect in the treatment of biliary calculi,it can shorten operation time,decrease intraop⁃erative blood loss,reduce the incidence of adverse reactions and improve the quality of life of patients.