腹腔镜胆囊切除术治疗胆结石40例疗效观察

目的观察腹腔镜胆囊切除术治疗胆结石的临床疗效。方法将符合病例选择标准的80例胆结石患者随机分为观察组、对照组各40例。观察组采用腹腔镜胆囊切除术治疗,对照组采用开腹胆囊切除术治疗。结果 2组患者均顺利完成手术,手术成功率均达100.00%,2组相比无差异(P>0.05)。手术时间观察组平均为(48.8±10.4)min,对照组平均为(92.5±18.5)min,2组相比差异有统计学意义(P<0.05);术中出血量观察组平均为(58.6±10.8)mL,对照组平均为(143.5±16.3)mL,2组相比差异有统计学意义(P<0.05);肛门排气时间观察组平均为(18.4±4.7)h,对照组平均为(43.5±8.4)h,2组相比差异有统计学意义(P<0.05);住院时间观察组平均为(6.8±1.5)d,对照组平均为(8.9±2.6)d,2组相比差异有统计学意义(P<0.05);止痛药物应用率观察组为17.50%(7/40),对照组为62.50(25/40),2组相比差异有统计学意义(P<0.05);术后并发症发生率观察组为7.50%(3/40),对照组为22.50%(10/40),2组相比差异有统计学意义(P<0.05)。结论腹腔镜胆囊切除术治疗胆结石临床疗效好,手术成功率高,且对患者损伤小,住院时间短,术后并发症少。

Observation of 40 Cases of Laparoscopic Cholecystectomy for Gallstones

Objective Observation of laparoscopic cholecystectomy in treatment of cholelithiasis clinical curative effect.Methods With a selection criteria in 80 cases of cholelithiasis patients were randomly divided into two groups,the control group with 40 cases in each group.The observation group was treated with laparoscopic cholecystectomy for the treatment,control group with open cholecystectomy in the treatment.Results Two groups of patients were successfully completed operation,operation success rate reached 100%,the two groups showed no difference（P0.05）.Operation time study group mean for the（48.8±10.4） min,control group for an average of（92.5±18.5）min,2 groups compared the difference was statistically significant（P0.05）;intraoperative hemorrhage observation group average of（58.6±10.8）mL,control group for an average of（143.5±16.3）mL,2 groups differences were compared statistically significant（P0.05）;anal exhaust time observation group average of（18.4±4.7）h,control group for an average of（43.5±8.4）h,2 groups compared the difference was statistically significant（P0.05）;average hospitalization time observation group（6.8±1.5）d,control group average of（8.9 ±2.6）d,2 groups compared the difference was statistically significant（P0.05）;analgesic drug application rate of treatment group was 17.50%（7/40）,the control group was 62.50（25/40）,2 groups compared the difference was statistically significant（P0.05）;postoperative complications rate of treatment group was 7.50%（3/40）,the control group was 22.50%（10/40）,2 groups compared the difference was statistically significant（P0.05）.Conclusion Laparoscopic cholecystectomy in treatment of cholelithiasis clinical curative effect good operation,high success rate,and small damage to a patient,shorter hospital stay,less postoperative complications.