中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2010年
29期
31-33
,共3页
剖腹术%胆囊切除术,腹腔镜%对比研究
剖腹術%膽囊切除術,腹腔鏡%對比研究
부복술%담낭절제술,복강경%대비연구
Laparotomy%Cholecystectomy,laparoscopic%Comparative study
目的 对比小切口胆囊切除术(MC)与腹腔镜胆囊切除术(LC)在胆囊切除方面的优劣.方法 选取需行胆囊切除术的胆囊疾病患者168例,按随机数字表法分为MC组(90例)和LC组(78例),比较两组临床疗效.结果 MC组手术时间[(37.2±12.3)min]比LC组[(51.6±14.6)min]明显缩短(P＜0.05).MC组、LC组住院时间分别为(1.7±1.1)、(1.8±0.9)d,痊愈时间分别为(15.9±3.2)、(14.8±4.9)d,两组比较差异均无统计学意义(P＞0.05).体重指数对两组的手术时间和术后恢复时间无影响.结论 对于非复杂性胆囊结石,MC与LC相比,手术时间短,术后患者恢复时间相近.MC更适合肥胖患者行胆囊切除手术.
目的 對比小切口膽囊切除術(MC)與腹腔鏡膽囊切除術(LC)在膽囊切除方麵的優劣.方法 選取需行膽囊切除術的膽囊疾病患者168例,按隨機數字錶法分為MC組(90例)和LC組(78例),比較兩組臨床療效.結果 MC組手術時間[(37.2±12.3)min]比LC組[(51.6±14.6)min]明顯縮短(P＜0.05).MC組、LC組住院時間分彆為(1.7±1.1)、(1.8±0.9)d,痊愈時間分彆為(15.9±3.2)、(14.8±4.9)d,兩組比較差異均無統計學意義(P＞0.05).體重指數對兩組的手術時間和術後恢複時間無影響.結論 對于非複雜性膽囊結石,MC與LC相比,手術時間短,術後患者恢複時間相近.MC更適閤肥胖患者行膽囊切除手術.
목적 대비소절구담낭절제술(MC)여복강경담낭절제술(LC)재담낭절제방면적우렬.방법 선취수행담낭절제술적담낭질병환자168례,안수궤수자표법분위MC조(90례)화LC조(78례),비교량조림상료효.결과 MC조수술시간[(37.2±12.3)min]비LC조[(51.6±14.6)min]명현축단(P＜0.05).MC조、LC조주원시간분별위(1.7±1.1)、(1.8±0.9)d,전유시간분별위(15.9±3.2)、(14.8±4.9)d,량조비교차이균무통계학의의(P＞0.05).체중지수대량조적수술시간화술후회복시간무영향.결론 대우비복잡성담낭결석,MC여LC상비,수술시간단,술후환자회복시간상근.MC경괄합비반환자행담낭절제수술.
Objective To compare the effect of mini-incision cholecystectomy (MC) and laparoscopic cholecystectomy(LC). Methods Totally 168 patients with gallbladder disease were treated by cholecystectomy, they were divided into MC group (90 cases) and LC group(78 cases) using random digits table,and comparing the clinical effect between the two groups. Results The operating time was significantly shorter in MC group [(37.2 ± 12.3) win] than that in LC group [(51.6 ± 14.6) min](P＜0.05). The length of stay and postoperative recovery time were (1.7 ± 1.1), (15.9 ± 3.2) d in MC group,(1.8 ± 0.9), (14.8 ± 4.9) d in LC group, there was no significant difference between the two groups (P＞0.05). Body mass index had no influence to the operating time and postoperative recovery time. Conclusions With not complexity cholecystolithiasis, compared with LC, MC had shorter operating time, but no significant difference in postoperative recovery time. The MC procedure also seems to be suitable for the obese patients.
