腹腔镜微创治疗肝胆结石的疗效评价

发布时间：2018-04-03 02:02

本文选题：腹腔镜微创　切入点：肝胆结石　出处：《临床医药文献电子杂志》2016年36期

【摘要】：目的分析腹腔镜微创治疗肝胆结石的临床方法和疗效。方法选择2013年2月~2016年2月我院收治的肝胆结石患者60例作为研究对象,将其随机分为对照组和实验组,各30例。对照组采用传统开腹手术治疗,实验组采用腹腔镜微创治疗,对比两组疗效和不良反应发生情况。结果实验组治疗总有效率为96.7%,高于对照组的86.7%;实验组手术时间为(60.2±5.4)min、术中出血量(41.2±6.5)mL、住院时间(7.1±2.6)天、肛门排气时间(28.4±4.6)h等指标均好于对照组的(72.4±6.1)min、(186.7±8.2)mL、(15.4±3.8)天、(58.9±6.3)h;且实验组不良反应发生率为3.34%,低于对照组的16.67%。两组比较差异均有统计学意义(P0.05)。结论在对肝胆结石患者进行治疗时,采用腹腔镜微创治疗比传统开腹手术治疗更加有效。采用腹腔镜微创手术治疗不仅可以改善患者的临床症状,使得患者的各项手术指标处于正常范围内,同时还可以有效减少不良反应,因此值得临床推广使用。
[Abstract]:Objective to analyze the clinical method and curative effect of laparoscopic minimally invasive treatment of hepatolithiasis.Methods from February 2013 to February 2016, 60 patients with hepatolithiasis were randomly divided into control group and experimental group.The control group was treated with traditional laparotomy and the experimental group was treated with laparoscopic minimally invasive therapy. The curative effect and adverse reaction of the two groups were compared.Results the total effective rate of the treatment in the experimental group was 96.7g, which was higher than that in the control group (86.7%), the operative time was 60.2 卤5.4 min, the intraoperative bleeding volume was 41.2 卤6.5 mL, and the hospitalization time was 7.1 卤2.6 days.The anus exhaust time (28.4 卤4.6 h) was better than that in the control group (72.4 卤6.1 min, 186.7 卤8.2 mL, 15.4 卤3.8) days, and the incidence of adverse reactions in the experimental group was 3.34, which was lower than that in the control group (16.67g).The difference between the two groups was statistically significant (P 0.05).Conclusion Laparoscopic minimally invasive treatment is more effective than traditional open surgery in the treatment of hepatolithiasis.Laparoscopic minimally invasive surgery can not only improve the clinical symptoms of patients and make the surgical indicators of patients in the normal range, but also can effectively reduce adverse reactions, so it is worthy of clinical application.
【作者单位】：临汾市人民医院;
【分类号】：R657.42

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