腹腔镜胆囊切除术治疗肝硬化合并胆囊结石的临床效果

目的分析腹腔镜胆囊切除术治疗肝硬化合并胆囊结石的临床效果。方法选择2016年9月至2018年9月我院接诊的118例肝硬化合并胆囊结石患者为研究对象,根据治疗方法的不同将其分为参照组和微创组,每组59例。参照组采取开腹胆囊切除术进行治疗,微创组采取腹腔镜胆囊切除术进行治疗。比较两组的治疗效果。结果治疗前,两组患者的ALT、AST、γ-GT、TBIL水平比较,差异无统计学意义(P>0.05);治疗1个月后,两组的ALT、AST、γ-GT、TBIL水平均明显降低,且微创组低于参照组,差异具有统计学意义(P<0.05)。治疗1个月后,微创组的治疗总有效率明显高于参照组,差异具有统计学意义(P<0.05)。治疗1个月后,微创组并发症总发生率明显低于参照组,差异具有统计学意义(P<0.05)。结论相比开腹胆囊切除术治疗而言,肝硬化合并胆囊结石患者通过腹腔镜胆囊切除术治疗的临床效果更加显著,并发症发生概率低,值得在临床上推广应用。

Clinical effect of laparoscopic cholecystectomy in the treatment of cirrhosis combined with cholecystolithiasis

Objective To analyze the clinical effect of laparoscopic cholecystectomy in the treatment of cirrhosis combined with cholecystolithiasis.Methods From September 2016 to September 2018,118 patients with cirrhosis combined with cholecystolithiasis admitted in our hospital were selected as the study objects.According to the different treatment methods,the patients were divided into reference group and minimally invasive group,with 59 cases in each group.The reference group was treated with open cholecystectomy,and the minimally invasive group was treated with laparoscopic cholecystectomy.The therapeutic effects of the two groups were compared.Results Before treatment,there were no significant differences in the levels of ALT,AST,γ-GT and TBIL between the two groups(P>0.05);after 1 month of treatment,the levels of ALT,AST,γ-GT and TBIL in the two groups decreased significantly,and those in the minimally invasive group were lower than the reference group,and the differences were statistically significant(P<0.05).After 1 month of treatment,the total effective rate of treatment of the minimally invasive group was significantly higher than that of the reference group,and the difference was statistically significant(P<0.05).After 1 month of treatment,the total incidence of complications in the minimally invasive group was significantly lower than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion Compared with open cholecystectomy treatment,laparoscopic cholecystectomy treatment for patients with cirrhosis combined with cholecystolithiasis has a more significant clinical effect,with lower incidence of complications,which is worthy of clinical promotion and application.