腹腔镜与开腹胆囊切除术疗效的对比与讨论

目的：探析腹腔镜胆囊切除术（LC）与开腹胆囊切除术（OC）疗法的临床效果对比及讨论。方法对我院2012年8月-2014年7月胆囊疾病患者73例，按治疗方式的不同分为对照组36例、观察组37例，行开腹胆囊切除术于对照组患者，行腹腔镜胆囊切除术于观察组患者，治疗后比较两组的临床有效率；对两组患者的临床指标如术后肠功能恢复时间、切口长度、术中出血、住院时间、手术时间等进行比较；并对两组的术后并发症情况进行比较。结果临床有效率观察组、对照组分别为89.2%、55.5%，差异有统计学意义（P〈0.05）；观察组的术后肠功能恢复时间、住院时间、切口长度、术中出血、手术时间等临床指标显著优于对照组，差异有统计学意义（P〈0.05）；观察组、对照组的术后并发症发生率分别为5.4%、36.1%，差异有统计学意义（P〈0.05）。结论胆囊疾病进行腹腔镜胆囊切除术具有住院时间短、术后康复迅速、高度微创等优越性，临床效果确切，值得临床推广。

Comparison and Discussion on the Effects of LC and OC

Objective To compare and discuss the clinical effects of laparoscopic cholecystectomy （LC） and open cholecystectomy （OC）. Methods 73 cases of patients with gallbladder disease from August 2012 to July 2014 in our hospital were selected and di-vided into observation group （37 cases） and control group （36 cases） based on different treatment methods. Patients in the observa-tion group were given LC, while patients in the control group were given OC. After treatment, clinical efficiency rate of both groups were compared, including intestinal function recovery time, hospital stay, incision length, blood loss, operative time, and postopera-tive complications. Results Clinical efficiency rate of observation group and control group were 89.2%, 55.5%. The difference was statistically significant （P〈0.05）;Postoperative intestinal function recovery time, hospital stay, incision length, blood loss, operative time of observation group were significantly better than the control group. The difference was statistically significant （P〈0.05）;Postoperative complication rate of observation group and control group were 5.4%, and 36.1%.The difference was statistically sig-nificant （P〈0.05）. Conclusion LC treatment on gallbladder disease features shorter hospital stay, quick postoperative rehabilitation, highly minimally invasive and other advantages. The clinical effect is exact and worthy of promotion.