选择性保胆取石术治疗胆囊结石的可行性分析

Feasibility Analysis of Selective Gallbladder Stone Removal for Gallstones

目的分析选择性保胆取石术治疗胆囊结石的可行性。方法江苏省连云港市第一人民医院在2015年9月—2018年9月收治100例胆囊结石患者,通过随机数字表法分为观察组和对照组,每组50例。对照组为纤维胆道镜保胆取石术,观察组予以纤维胆道镜保胆取石术联合腹腔镜。比较两组患者的手术时间、住院时间以及术后感染情况。结果基于患者住院时间和手术时间的分析,观察组的住院时间和手术时间低于对照组;在术后感染情况分析中,观察组的感染效率低于对照组,两组比较差异有统计学意义(P<0.05)。结论使用保胆取石术来对胆囊结石患者治疗,获取的可行性更高,能降低并发症的发生效率,减少创伤,也能促使其治疗效率的提升,保证临床上的积极推广。

Objective To analyze the feasibility of selective gallbladder preserving lithotripsy in the treatment of gallstone.Methods From September 2015 to September 2018,100 patients with cholecystolithiasis were divided into observation group(n=50)and control group(n=50).The control group was treated with choledochoscope cholecystectomy,while the observation group was treated with choledochoscope cholecystectomy combined with laparoscopy.The operative time,length of stay and postoperative infection were compared between the two groups.Results Based on the analysis of the hospitalization time and operation time of the patients,the hospitalization time and operation time of the observation group were lower than those of the control group;in the analysis of postoperative infection,the infection efficiency of the observation group was lower than that of the control group,with statistically significant difference(P<0.05).Conclusion Cholecystolithotomy is more feasible in the treatment of cholecystolithiasis.It can reduce the incidence of complications,reduce trauma,promote the efficiency of treatment,and ensure the positive promotion of clinical practice.