中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2010年
4期
287-289
,共3页
牛军%宋炜%樊薇%闫明%刘恩宇%牛卫博%彭程%林鹏飞
牛軍%宋煒%樊薇%閆明%劉恩宇%牛衛博%彭程%林鵬飛
우군%송위%번미%염명%류은우%우위박%팽정%림붕비
经自然腔道内镜手术,阴道%外科手术,微创性%胆囊切除术,腹腔镜
經自然腔道內鏡手術,陰道%外科手術,微創性%膽囊切除術,腹腔鏡
경자연강도내경수술,음도%외과수술,미창성%담낭절제술,복강경
Natural orifice transluminal endoscopic surgery,vaginal%Surgical procedures,minimally invasive%Cholecystectomy,laparoscopic
目的 探讨经阴道内镜下胆囊切除术的安全性和可行性.方法 回顾性分析2009年5月至11月山东大学齐鲁医院88例行胆囊切除术女性患者的临床资料.其中32例行经阴道内镜下胆囊切除术(NOTES组),另56例行LC.根据年龄、体质指数、疾病类型、病情严重程度等从56例行LC的患者中选取32例进行逐一配对(LC组).利用配对t检验比较两种术式术后的疼痛时间、镇痛剂应用剂量、肠蠕动时间、手术时间、下床活动时间、平均住院时间、住院费用等.结果 两组患者均顺利完成胆囊切除术.NOTES组和LC组患者术中出血量、手术时间、疼痛程度、镇痛剂应用剂量、肠蠕动恢复时间、下床活动时间、平均住院时间、治疗费用分别为(5.7±1.5)ml、(76±27)min、2.2±0.6、(10±6)mg、(25±5)h、(9±3)h、(2.1±1.2)d、(1.12±0.34)万元和(13.9±3.1)ml、(38±16)min、6.7±1.5、(28±8)mg、(45±8)h、(26±6)h、(4.3±2.1)d、(1.54±0.18)万元,两组比较,差异有统计学意义(t=5.098,-4.712,2.417,3.203,3.089,4.136,4.786,3.917,P<0.05).结论 经阴道内镜下胆囊切除术安全可行,与LC比较有明显优越性.
目的 探討經陰道內鏡下膽囊切除術的安全性和可行性.方法 迴顧性分析2009年5月至11月山東大學齊魯醫院88例行膽囊切除術女性患者的臨床資料.其中32例行經陰道內鏡下膽囊切除術(NOTES組),另56例行LC.根據年齡、體質指數、疾病類型、病情嚴重程度等從56例行LC的患者中選取32例進行逐一配對(LC組).利用配對t檢驗比較兩種術式術後的疼痛時間、鎮痛劑應用劑量、腸蠕動時間、手術時間、下床活動時間、平均住院時間、住院費用等.結果 兩組患者均順利完成膽囊切除術.NOTES組和LC組患者術中齣血量、手術時間、疼痛程度、鎮痛劑應用劑量、腸蠕動恢複時間、下床活動時間、平均住院時間、治療費用分彆為(5.7±1.5)ml、(76±27)min、2.2±0.6、(10±6)mg、(25±5)h、(9±3)h、(2.1±1.2)d、(1.12±0.34)萬元和(13.9±3.1)ml、(38±16)min、6.7±1.5、(28±8)mg、(45±8)h、(26±6)h、(4.3±2.1)d、(1.54±0.18)萬元,兩組比較,差異有統計學意義(t=5.098,-4.712,2.417,3.203,3.089,4.136,4.786,3.917,P<0.05).結論 經陰道內鏡下膽囊切除術安全可行,與LC比較有明顯優越性.
목적 탐토경음도내경하담낭절제술적안전성화가행성.방법 회고성분석2009년5월지11월산동대학제로의원88례행담낭절제술녀성환자적림상자료.기중32례행경음도내경하담낭절제술(NOTES조),령56례행LC.근거년령、체질지수、질병류형、병정엄중정도등종56례행LC적환자중선취32례진행축일배대(LC조).이용배대t검험비교량충술식술후적동통시간、진통제응용제량、장연동시간、수술시간、하상활동시간、평균주원시간、주원비용등.결과 량조환자균순리완성담낭절제술.NOTES조화LC조환자술중출혈량、수술시간、동통정도、진통제응용제량、장연동회복시간、하상활동시간、평균주원시간、치료비용분별위(5.7±1.5)ml、(76±27)min、2.2±0.6、(10±6)mg、(25±5)h、(9±3)h、(2.1±1.2)d、(1.12±0.34)만원화(13.9±3.1)ml、(38±16)min、6.7±1.5、(28±8)mg、(45±8)h、(26±6)h、(4.3±2.1)d、(1.54±0.18)만원,량조비교,차이유통계학의의(t=5.098,-4.712,2.417,3.203,3.089,4.136,4.786,3.917,P<0.05).결론 경음도내경하담낭절제술안전가행,여LC비교유명현우월성.
Objective To investigate the feasibility and safety of transvaginal endoscopic cholecystectomy.Methods The clinical data of 88 female patients who underwent cholecystectomy at the Qilu Hospital of Shandong University from May to November, 2009 were retrospectively analysed. Among all the patients, 32 received transvaginal endoscopic cholecystectomy ( NOTES group) and the remaining 56 patients received laparoscopic cholecystectomy (LC). Thirty-two patients who received LC at the same period were selected (LC group)acccording to age, body mass index, type and severity of disease to conduct a matched case-control study. The differences in time span of postoperative pain, anodyne dose, enterokinesia recovery time, operation time, out-ofbed activity time, average hospital stay and hospitalization expenses between the two groups were compared using the paired t test. Results Cholecystectomies were successfully carried out for all the patients. The intraoperative blood loss, operation time, degree of pain, anodyne doses, enterokinesia recovery time, out-of-bed activity time,average hospital stay and hospitalization expenses were (5.7 ± 1.5 ) ml, ( 76 ± 27 ) minutes, 2.2 ± 0.6, ( 10 ±6) mg, (25±5) hours, (9±3) hours, (2.1 ±1.2) days and (1.12±0.34) ×104 yuan in NOTES group, and they were ( 13.9 ± 3.1 ) ml, (38 ± 16) minutes, 6.7 ± 1.5, (28 ± 8) mg, (45 ± 8) hours, (26 ± 6) hours,(4.3 ± 2.1 ) days and ( 1.54 ± 0.18 ) × 104 yuan in the LC group. There were significant differences between the two groups (t = 5.098, - 4.712, 2.417, 3.203, 3.089, 4.136, 4.786, 3.917, P ＜ 0.05 ). Conclusion Transvaginal endoscopic cholecystectomy is safe and feasible, and it is superior to tranditional LC.
