国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
1期
41-43
,共3页
微创%经脐腹腔镜%胆囊息肉
微創%經臍腹腔鏡%膽囊息肉
미창%경제복강경%담낭식육
Mini-incision%Laparoscopy%Polypoid lesion of gallbladder
目的 对比微创经脐腹腔镜( PLG)辅助和小切口直视胆囊息肉摘除手术的治疗效果,探讨微创手术的可行性.方法 选择我院收治的68例患者,随机分成两组各34人；一组采用经脐腹腔镜辅助手术进行胆囊息肉的摘除,另一组经B超定位后做小切口直视找到胆囊后摘除息肉,对两组患者的切口大小、手术时间、出血量等指标进行观察和统计分析.结果 两组手术进行均顺利,术后恢复良好,经脐腹腔镜组在切口大小[(2.23±0.19)cmvs.(3.78±0.21) cm]、手术时间[(43.84±6.32) min vs.( 60.21±2.61) min]、出血量[(7.34±1.43) ml vs.( 10.57±1.63) ml]、住院时间等方面均优于直视组(P＜0.05).结论 微创经脐腹腔镜辅助胆囊息肉摘除术具有手术时间短、切口小、出血少、创伤小、术后恢复快等优点,值得推广.
目的 對比微創經臍腹腔鏡( PLG)輔助和小切口直視膽囊息肉摘除手術的治療效果,探討微創手術的可行性.方法 選擇我院收治的68例患者,隨機分成兩組各34人；一組採用經臍腹腔鏡輔助手術進行膽囊息肉的摘除,另一組經B超定位後做小切口直視找到膽囊後摘除息肉,對兩組患者的切口大小、手術時間、齣血量等指標進行觀察和統計分析.結果 兩組手術進行均順利,術後恢複良好,經臍腹腔鏡組在切口大小[(2.23±0.19)cmvs.(3.78±0.21) cm]、手術時間[(43.84±6.32) min vs.( 60.21±2.61) min]、齣血量[(7.34±1.43) ml vs.( 10.57±1.63) ml]、住院時間等方麵均優于直視組(P＜0.05).結論 微創經臍腹腔鏡輔助膽囊息肉摘除術具有手術時間短、切口小、齣血少、創傷小、術後恢複快等優點,值得推廣.
목적 대비미창경제복강경( PLG)보조화소절구직시담낭식육적제수술적치료효과,탐토미창수술적가행성.방법 선택아원수치적68례환자,수궤분성량조각34인；일조채용경제복강경보조수술진행담낭식육적적제,령일조경B초정위후주소절구직시조도담낭후적제식육,대량조환자적절구대소、수술시간、출혈량등지표진행관찰화통계분석.결과 량조수술진행균순리,술후회복량호,경제복강경조재절구대소[(2.23±0.19)cmvs.(3.78±0.21) cm]、수술시간[(43.84±6.32) min vs.( 60.21±2.61) min]、출혈량[(7.34±1.43) ml vs.( 10.57±1.63) ml]、주원시간등방면균우우직시조(P＜0.05).결론 미창경제복강경보조담낭식육적제술구유수술시간단、절구소、출혈소、창상소、술후회복쾌등우점,치득추엄.
Objective To compare the curative effect of laparoscopic-assisted with that of mini-incision euthyphoria gallbladder-preserving surgeon for polypoid lesion of gallbladder( PLG ),and discuss the reliability and feasibility.Methods 68 patients suffering from PLG were randomly divided into 2 groups.One group were treated with laparoscopy,and the other euthyphoria operation.Observed the size of incision,time of the surgery,and blood loss of the two groups.Results Both groups' gallbladder-preserving surgery were successful,and all the patients recovered well.The laparoscopic group was better than the euthyphoria group( P＜ 0.05 ).Conclusions Laparoscopic-assisted PLG picking surgery is better than euthyphoria surgery,and has shorter operative time,smaller incision,less bleeding,less wound,faster postoperative recovery,etc.It is worth to generalize.
