应用微创保胆取石术与腹腔镜胆囊切除术治疗胆囊结石患者的临床疗效对比

Comparison of the clinical effects between minimally invasive gallbladder preserving surgery and laparoscopic cholecystectomy for cholecystolithiasis

目的探讨微创保胆取石与腹腔镜胆囊切除术治疗胆囊结石的临床疗效。方法选择2013年12月至2015年10月我院收治的80例胆囊结石患者作为研究对象,将其随机分为对照组和观察组,各40例,分别采用腹腔镜胆囊切除术及微创保胆取石术进行治疗,对比分析两组胆囊结石患者术中出血量、术后排气时间、并发症发生率及疼痛评分情况。结果两组患者的术中出血量、术后排气时间、术后并发症发生率均无显著性差异(P>0.05);对照组患者疼痛评分高于观察组,差异有统计学意义(P<0.05)。结论对胆囊结石患者实施微创保胆取石术与采用腹腔镜胆囊切除术治疗的临床效果基本一致。

Objecti ve To analyze the clinical effect between minimally invasive gallbladder preserving surgery and laparoscopic cholecystectomy for cholecystolithiasis. Methods Eighty cases of cholecystolithiasis were admitted to our hospital during December 2013 to October 2015 and randomly divided into two groups: control group(laparoscopic cholecystectomy treatment) and obeservation group(minimally invasive gallbladder preserving surgery). The intraoperative blood loss, postoperative exhaust time, incidence of complications and pain scores were compared between two groups.Results The incidence of complications, intraoperative bleeding volume and postoperative exhaust time were not significantly different between two groups. But the pain score of control group was significantly higher than that of obeservation group(P <0.05). Conclusion The clinical effect of minimally invasive gallbladder preserving surgery and laparoscopic cholecystectomy is similar to cholecystolithiasis.