腹腔镜微创治疗肝胆结石的有效性及安全性分析

目的：探讨腹腔镜微创治疗肝胆结石患者的有效性及安全性,为优化治疗方案提供科学依据。方法选取2012年1月～2014年1月本院收治的80例肝胆结石患者,随机分为观察组与对照组,观察组进行腹腔镜微创治疗,对照组进行开腹手术治疗,比较两组的治疗效果。结果观察组手术时间为（60.1±12.8）min,短于对照组的（75.3±15.3）min,差异有统计学意义（P＜0.05）。观察组术中出血量为（65.4±18.5）ml,少于对照组的（129.6±39.2）ml,差异有统计学意义（P＜0.05）。观察组排气时间为（23.6±7.8）h,少于对照组的（35.2±12.4） h,差异有统计学意义（P＜0.05）。观察组住院时间为（7.2±2.3）d,短于对照组的（13.5±4.5）d,差异有统计学意义（P＜0.05）。观察组不良反应发生率（20.0%）低于对照组（57.5%）,差异有统计学意义（P＜0.05）。结论腹腔镜微创治疗肝胆结石可有效缩短患者的手术时间,减少术中出血量,促进患者术后恢复,减少术后不良反应的发生,安全性高,值得推广应用。

Effectiveness and safety analysis of micro -invasive surgery by la-paroscopy in the treatment of hepatobiliary calculus

Objective To explore effectiveness and safety of micro-invasive surgery by laparoscopy in the treatment of hepatobiliary calculus and provide scientific basis for optimizing therapeutic regimen. Methods 80 patients with hepa-tobiliary calculus from January 2012 to January 2014 in our hospital were selected and randomly divided into observa-tion group and control group.Micro-invasive surgery by laparoscopy was provided in observation group,while laparotomy was adopted in control group.Effect in both groups was compared. Results The operation time in observation group was （60.1±12.8）min,shorter than that in control group[（75.3±15.3）min],with statistical difference（P〈0.05）.Amount of bleeding during surgery in observation group was（65.4±18.5）ml,less than that in control group[（129.6±39.2）ml],with statistical dif-ference（P〈0.05）.The exhaust time in observation group was（23.6±7.8）h,shorter than that in control group[（35.2±12.4）h], with statistical difference （P〈0.05）.Hospital stay time in observation group was （7.2±2.3）d,shorter than that in control group [（13.5±4.5）d],with statistical difference （P〈0.05）.The incidence rate of adverse reaction in observation group was 20.0%,lower than that in control group （57.5%）,with statistical difference （P〈0.05）. Conclusion Micro-invasive surgery by laparoscopy in the treatment of hepatobiliary calculus can effectively shorten patient’s operation time and reduce amount of intraoperative bleeding,promote postoperative recovery and reduce the occurrence of adverse reaction after surgery.It has high safety and is worthy of expansion and application.