腹腔镜下三孔胆囊切除术与开腹手术治疗胆囊疾病患者的疗效及对康复进程的对比研究

A Comparative Study of the Curative Effect of Laparoscopic Three-Hole Cholecystectomy and Open Surgery on Patients with Gallbladder Disease and the Rehabilitation Process

目的:对比腹腔镜下三孔胆囊切除术与开腹手术治疗胆囊疾病患者的疗效。方法:选取2021年9月~2023年5月本院胆囊疾病者80例,随机数分成两组,开腹组接受开腹手术治疗,三孔组接受腹腔镜下三孔胆囊切除术治疗,对比两组手术指标、康复进程、并发症状况、围术期炎症指标。结果:与开腹组相比,三孔组手术时间、住院时间、术中出血量较少(P<0.05);与开腹组比较,三孔组肛门排气时间、排便时间和肠道恢复时间较少(P<0.05);术后三孔组C反应蛋白、白细胞介素-6和肿瘤坏死因子α均低于开腹组(P<0.05);和开腹组20.00%相对比,三孔组并发症发生率2.50%显著较少(P<0.05)。结论:与开腹手术相比,腹腔镜下三孔胆囊切除术在治疗胆囊疾病患者时可改善手术效果,促进术后康复,抑制炎症反应,并减少并发症发生。

Objective:To compare the efficacy of laparoscopic three-hole cholecystectomy and open surgery in the treatment of gallbladder diseases.Methods:A total of 80 patients with gallbladder disease in our hospital from September 2021 to May 2023 were randomly divided into two groups.The laparotomy group received laparotomy,and the three-hole group received laparoscopic three-hole cholecystectomy.The surgical indexes,rehabilitation process,complications and perioperative inflammation indexes of the two groups were compared.Results:Compared with the laparotomy group,the operation time,hospital stay and intraoperative blood loss in the three-hole group were less(P<0.05).Compared with the laparotomy group,the anal exhaust time,defecation time and intestinal recovery time in the three-hole group were less(P<0.05).The levels of CRP,IL-6 and TNF-αin the three-hole group were lower than those in the open group(P<0.05).Compared with 20.00%in the laparotomy group,the complication rate in the three-hole group was 2.50%,which was significantly lower(P<0.05).Conclusion:Compared with open surgery,laparoscopic three-hole cholecystectomy can improve the operative effect,promote postoperative rehabilitation,inhibit inflammation and reduce complications in patients with gallbladder disease.