CAJ | 학술논문

目的：探讨经脐单孔腹腔镜切除胆囊的临床效果和安全性。方法选取本院2010年2月~2014年1月收治的胆囊炎患者80例作为研究对象，并分为对照组和观察组，每组各40例。两组患者接受相同的围手术期护理和治疗，对照组患者采用传统三孔腹腔镜法切除胆囊，观察组患者接受经脐单孔腹腔镜切除胆囊。比较两组患者的手术时间、术中出血量、住院时间、术后并发症发生情况以及患者对疼痛和切口美观程度评价。结果两组患者术中出血量以及住院时间基本相同，但观察组患者手术时间较长，且观察组患者并发症发生率显著低于对照组，差异有统计学意义(P<0.05)。观察组患者VAS疼痛评分低于对照组，且对腹部美观评分高于对照组，差异有统计学意义(P<0.05)。结论经脐单孔腹腔镜切除胆囊效果在保证疗效的基础上，有助于降低并发症，减少患者痛苦，增加美观度，值得临床推广。
목적：탐토경제단공복강경절제담낭적림상효과화안전성。방법선취본원2010년2월~2014년1월수치적담낭염환자80례작위연구대상，병분위대조조화관찰조，매조각40례。량조환자접수상동적위수술기호리화치료，대조조환자채용전통삼공복강경법절제담낭，관찰조환자접수경제단공복강경절제담낭。비교량조환자적수술시간、술중출혈량、주원시간、술후병발증발생정황이급환자대동통화절구미관정도평개。결과량조환자술중출혈량이급주원시간기본상동，단관찰조환자수술시간교장，차관찰조환자병발증발생솔현저저우대조조，차이유통계학의의(P<0.05)。관찰조환자VAS동통평분저우대조조，차대복부미관평분고우대조조，차이유통계학의의(P<0.05)。결론경제단공복강경절제담낭효과재보증료효적기출상，유조우강저병발증，감소환자통고，증가미관도，치득림상추엄。
Objective To explore the clinical efficacy and safety of transumbilical single port laparoscopic cholecystectomy.Methods Choosing 80 cholecystitis patients as research subjects from february 2010 from January 2014 and dividing them into control group and observation group, 40 cases in each group. Two groups of patients received the same perioperative care and treatment in the control group were treated with conventional three-hole laparoscopic cholecystectomy, observation group patients after laparoscopic cholecystectomy umbilical hole. Two groups were compared operative time, blood loss, hospital stay, postoperative <br> complications, and patient assessment of pain and cuts beautifully occurred.Results The two groups of patients with blood loss and hospital stay basically the same, but the observation group were longer operative time, and complication rate in patients in the observation group was significantly lower than the control group, the difference was statistically significant(P<0.05). VAS pain scores of patients in the observation group than the control group, and the beautiful score higher on the abdomen, the difference was statistically significant(P<0.05).Conclusion Transumbilical single port laparoscopic cholecystectomyon on the basis of ensuring the efficacy, also can help reduce complications and suffering of patients and increase aesthetics, so it is worthy of clinical promotion.