胆结石腹腔镜与小切口手术切除胆囊治疗临床效果观察

目的:分析并比较腹腔镜与小切口手术两种方式切除胆囊对胆结石患者的治疗效果。方法:选取2015年3月-2016年3月期间,于我院诊治的胆结石患者92例作为研究对象,采用随机分组法,将患者分为实验组及对照组,每组46例,对照组患者采用小切口手术方式行胆囊切除术,实验组则采用腹腔镜微创手术方式切除胆囊,比较两种手术方法的治疗效果。结果:实验组患者的手术时间、术中失血量、住院时间明显少于对照组,组间数据差异显著(P<0.05),有统计学意义;胆囊切除术后,所有患者的胆囊区疼痛、黄疸、发观等胆结石症状均显著缓解甚至消失,治疗有效率达到了100%,且组间治疗有效情况数据差异无统计学意义(P>0.05);但实验组患者的并发症发生率(2.17%)明显低于对照组患者的并发症发生率(13.04%),组间数据差异显著(P<0.05),有统计学意义。结论:相比以往小切口手术的治疗方法,腹腔镜下切除胆囊具有显著优势,术中患者的创伤较小,出血量不大,恢复较快,术后并发症发生率低等,值得临床推广。

Objective: to analyze and compare the two methods of laparoscopic surgery with small incision to remove the therapeutic effect of cholecystitis in patients with gallstones. methods: March 2015-March 2016, in the hospital make a diagnosis and give treatment, 92 cases of patients with gallstones as the research object, using the randomized method, divided the patients into the experimental group and control group, 46 cases in each group, control group were treated by small incision surgery way cholecystectomy, the experimental group USES the way of laparoscopic minimally invasive surgery to remove the gallbladder, compare two methods of surgical treatment effect. Results: the patients with operation time, intraoperative blood loss, hospital stay, significantly less than the control group, data significant difference between groups, P < 0.05, there is statistical significance; All patients with gallbladder after cholecystectomy, gall-stone symptoms such as pain, jaundice, fever are significantly reduced or even disappeared, treatment efficiency reached 100%, and the treatment effective data did not see differences between groups, P > 0.05, no statistical significance; But the experimental group patients complication rates significantly lower than the control group(2.17%) of patients with complications(13.04%), data significant difference between groups, P < 0.05, with statistical significance. Conclusion: compared with the previous small incision surgery treatment, laparoscopic resection of the gallbladder has significant advantages, in patients with less trauma, blood loss, recovery faster, lower incidence of postoperative complications, the value of the clinical promotion.