腹腔镜手术切除胆囊治疗结石性胆囊炎的临床效果研究

发布时间：2018-05-12 02:38

本文选题：腹腔镜 + 胆囊切除术　；参考：《世界最新医学信息文摘》2016年A3期

【摘要】：目的研究结石性胆囊炎患者采用腹腔镜手术切除胆囊治疗的临床效果。方法将我院2014年3月-2016年7月收治的86例结石性胆囊炎患者,采用双色球分组法分为2组,每组各43例。对照组患者采用开腹胆囊切除术治疗,观察组患者采用腹腔镜胆囊切除术治疗。对比两组患者术中出血量、排气恢复正常时间、肠鸣音恢复正常时间以及住院时间;并详细记录两组患者并发症发生情况,对比并发症发生率。结果观察组患者术中出血量较少,排气恢复正常时间、肠鸣音恢复正常时间以及住院时间较短,与对照组患者相比,差异显著(P0.05);且观察组患者并发症发生率明显比对照组低(P0.05)。结论腹腔镜手术切除胆囊治疗结石性胆囊炎临床效果较好,患者术中出血量少,术后恢复快,且并发症发生率较低,安全性较高,值得将该手术治疗方法在临床中推广应用。
[Abstract]:Objective to study the clinical effect of laparoscopic cholecystectomy in patients with calculous cholecystitis. Methods 86 patients with calculous cholecystitis treated in our hospital from March 2014 to July 2016 were divided into two groups with 43 cases in each group. The patients in the control group were treated with open cholecystectomy and the patients in the observation group were treated with laparoscopic cholecystectomy. The blood loss during operation, the recovery time of exhaust gas, the normal time of bowel sound and the time of hospitalization were compared between the two groups, and the complications of the two groups were recorded in detail, and the incidence of complications was compared. Results compared with the control group, the patients in the observation group had less blood loss during the operation, the time of the recovery of exhaust gas, the normal time of bowel sound and the time of hospitalization, and the incidence of complications in the observation group was significantly lower than that in the control group (P 0.05), and the incidence of complications in the observation group was significantly lower than that in the control group (P 0.05). Conclusion Laparoscopic cholecystectomy is effective in the treatment of calculous cholecystitis, with less intraoperative bleeding, faster postoperative recovery, lower incidence of complications and higher safety. It is worth popularizing and applying this operative method in clinical practice.
【作者单位】：河北省保定市容城县中医医院外科;
【分类号】：R657.4

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