微创保胆取石术治疗胆结石的近期疗效及对患者生活质量的影响

发布时间：2018-12-26 07:34

【摘要】：目的探讨分析微创保胆取石术治疗胆结石的疗效及对患者生活质量的影响。方法选择我院收治的158例胆囊结石患者,按照患者手术方式将其分为微创保胆取石术组(EMIC组)71例、腹腔镜胆囊切除术组(LC组)87例,比较两组患者手术效果、治疗后生活质量以及并发症发生情况。结果 EMIC组患者术中出血量、手术时间、术后肛门首次排气时间以及住院时间均显著低于LC组(P0.05);治疗后EMIC组患者生理功能状态、主观症状、心理情绪状态、日常生活及社会活动状态以及生活质量总分均显著高于LC组(P0.05);EMIC组患者术后并发症发生率为7.04%(5/71),LC组患者术后并发症发生率为18.39%(16/87),两组比较差异具有统计学意义(P0.05)。结论微创保胆取石术对患者创伤小、安全性高,患者术后恢复快,保留了机体胆囊的生理功能,有助于患者术后生活质量的提高,且术后并发症发生率低,值得临床推广运用。
[Abstract]:Objective to investigate the effect of minimally invasive cholecystectomy on the quality of life of patients with cholelithiasis. Methods one hundred and fifty-eight patients with cholecystolithiasis in our hospital were divided into two groups: minimally invasive cholelithiasis group (EMIC group, 71 cases) and laparoscopic cholecystectomy group (LC group, 87 cases). Quality of life and complications after treatment. Results the amount of intraoperative bleeding, the time of operation, the time of first exsufflation of anus and the time of hospitalization in EMIC group were significantly lower than those in LC group (P0.05). After treatment, the scores of physiological function, subjective symptoms, psychological emotion, daily life and social activities and total quality of life in EMIC group were significantly higher than those in LC group (P0.05). The incidence of postoperative complications in EMIC group was 7.04% (5 / 71), LC group) was 18.39% (16 / 87), the difference between the two groups was statistically significant (P0.05). Conclusion minimally invasive cholecystolithiasis has the advantages of small trauma, high safety, quick recovery after operation, preservation of the physiological function of the gallbladder, it is helpful to improve the quality of life of the patients, and the incidence of postoperative complications is low, which is worthy of clinical application.
【作者单位】：第三军医大学大坪医院野战外科研究所肝胆外科;
【分类号】：R657.42

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