高原地区保胆取石手术临床疗效分析

目的探讨高原地区微创保胆取石术治疗胆囊结石的临床疗效及临床使用价值。方法选取我院胆囊结石患者61例分为对照组和观察组,对照组31例,观察组30例,对照组采用小切口保胆取石术,观察组采用腹腔镜保胆取石术,对比两组患者临床疗效及不良反应发生情况。结果观察组患者围手术期情况显著优于对照组,观察组不良反应控制的总有效率为96.7%明显优于对照组的83.9%,观察组不良反应更少,结果具有统计学意义（P〈0.05）。结论腹腔镜保胆取石治疗胆囊结石疗效更佳,且痛苦小,能够保留胆囊功能,减少术后各种并发症的发生,高原地区高龄或者肺功能较差胆结石患者推荐使用腹腔镜微创保胆取石术。

Analysis of Clinical Efficacy of Gallstone Operation with Preservation of Gallbladder in Plateau Area

Objective To study and analysis of clinical efficacy and value of stone operation with preservation of gallbladder in plateau area. Methods 61 cases of gallstone in our hospital were divided into control group and observation group, 31 cases in the control group and 30 cases in the observation group, the control group received small incision cholecystotomy, the observation group was treated with laparoscopic cholecystolithotomy. And the incidence of adverse reactions in two groups were compared the clinical efficacy. Results The operation time, bleeding volume, the exhaust time, hospitalization time of patients in observation group was significantly better than the control group. The total efficiency to control of adverse reactions in the observation group was 96.7%（only 1 cases）,which was better than the control group83.9%（5 cases）,P〈0.05.Conclusion Paul gallbladder gallstone operation in treatment of laparoscopic cholecystolithotomy effect well with less pain and adverse reaction. Senile patient or poor lung function patients with gallstone in plateau are recommended the use of laparoscopic minimally invasive gall preserving lithotomy.