腹腔镜胆囊切除术与小切口胆囊切除术的疗效比较研究

目的探讨腹腔镜胆囊切除术与小切口胆囊切除术的临床效果。方法选择2011年1月~2013年1月在我院住院进行手术治疗的胆囊炎、胆结石患者80例作为观察对象,其中行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)40例设立为腹腔镜组,同期行小切口胆囊切除术(small incision cholecystectomy,MC)的40例患者设立为对照组,比较两组患者的术中出血量、手术时间、术后患者下床活动时间、住院时间及并发症情况。结果腹腔镜组手术时间短,术中出血量少、术后下床活动时间快、术后住院时间短(P<0.05)。两组无一例出现胆漏、肝外胆管损伤、隔下感染,腹腔镜并发症发生率为5%,明显少于对照组的22.5%(χ2=4.981,P<0.05)。结论腹腔镜胆囊切除术具有操作简便、创伤小、术后恢复快、并发症少等优点,其临床效果明显优于小切口胆囊切除术,值得基层医院广泛推广和应用。

Laparoscopic cholecystectomy and small-incision cholecystectomy com- parative effectiveness research

Objective To investigate the laparoscopic cholecystectomy and small-incision cholecystectomy clinical. Methods From January 2011 to January 2013 in our hospital for surgical treatment of cholecystitis, gallstones 80 patients as object of observation, in which laparoscopic cholecystectomy（laparoscopic cholecystectomy, LC） 40 established as laparoscopic group, and earlier small incision cholecystectomy （small incision cholecystectomy, MC） of the 40 patients were established as the control group, lood loss, operative time, postoperative ambulation, hospitalization Time and treatment of complications were compared. Results Although laparoscopic surgery group a long time, but less blood loss, postoperative ambulation time soon, shorter postoperative hospital stay （P〈0.05） . Laparoscopy was no case of wound infection, ascites, liver failure, and its complication rate of 5%, significantly less than the control group, 22.5%, respectively （X2=4.981, P〈0.05）. Conclusion Laparoscopic cholecystectomy is a simple, minimally invasive, rapid postoperative recovery, fewer complications, and better than its clinical small incision cholecystectomy, it is worth the primary hospital widely promoted and Application.