中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2013年
20期
209-210
,共2页
胆囊切除术%腹腔镜%开腹
膽囊切除術%腹腔鏡%開腹
담낭절제술%복강경%개복
Cholecystectomy%Laparoscope%Laparotomy
目的：比较腹腔镜与传统开腹胆囊切除术的临床疗效。方法选取我院从2012年2月～2013年2月所收治的60例行胆囊切除术患者作为临床研究对象，将患者分为腹腔镜组和开腹组两组，开腹组患者采用传统开腹胆囊切除术进行治疗，而腹腔镜组则采用腹腔镜胆囊切除术进行治疗。比较两组患者的手术时间、术后排气时间、住院时间、止痛药使用率、住院费用和并发症发生率。结果两组患者的手术时间（73.8±11.2）和（96.2±10.6）min、术后排气时间（22.5±6.1）和（37.8±16.8）h、住院时间（5.8±1.2）和（15.9±8.3）d、止痛药使用率20.0%和75.0%、住院费用（4678.5±513.2）和（5671.8±522.6）元、并发症发生率2.5%和15.0%的差异均有统计学意义（P＜0.05）。除住院费用一项是腹腔镜组高于开腹组外，腹腔镜组的其他指标均优于对照组。结论腹腔镜胆囊切除术具有创伤小、手术时间短、患者恢复快、并发症发生率低等优点，可在临床中推广使用。
目的：比較腹腔鏡與傳統開腹膽囊切除術的臨床療效。方法選取我院從2012年2月～2013年2月所收治的60例行膽囊切除術患者作為臨床研究對象，將患者分為腹腔鏡組和開腹組兩組，開腹組患者採用傳統開腹膽囊切除術進行治療，而腹腔鏡組則採用腹腔鏡膽囊切除術進行治療。比較兩組患者的手術時間、術後排氣時間、住院時間、止痛藥使用率、住院費用和併髮癥髮生率。結果兩組患者的手術時間（73.8±11.2）和（96.2±10.6）min、術後排氣時間（22.5±6.1）和（37.8±16.8）h、住院時間（5.8±1.2）和（15.9±8.3）d、止痛藥使用率20.0%和75.0%、住院費用（4678.5±513.2）和（5671.8±522.6）元、併髮癥髮生率2.5%和15.0%的差異均有統計學意義（P＜0.05）。除住院費用一項是腹腔鏡組高于開腹組外，腹腔鏡組的其他指標均優于對照組。結論腹腔鏡膽囊切除術具有創傷小、手術時間短、患者恢複快、併髮癥髮生率低等優點，可在臨床中推廣使用。
목적：비교복강경여전통개복담낭절제술적림상료효。방법선취아원종2012년2월～2013년2월소수치적60례행담낭절제술환자작위림상연구대상，장환자분위복강경조화개복조량조，개복조환자채용전통개복담낭절제술진행치료，이복강경조칙채용복강경담낭절제술진행치료。비교량조환자적수술시간、술후배기시간、주원시간、지통약사용솔、주원비용화병발증발생솔。결과량조환자적수술시간（73.8±11.2）화（96.2±10.6）min、술후배기시간（22.5±6.1）화（37.8±16.8）h、주원시간（5.8±1.2）화（15.9±8.3）d、지통약사용솔20.0%화75.0%、주원비용（4678.5±513.2）화（5671.8±522.6）원、병발증발생솔2.5%화15.0%적차이균유통계학의의（P＜0.05）。제주원비용일항시복강경조고우개복조외，복강경조적기타지표균우우대조조。결론복강경담낭절제술구유창상소、수술시간단、환자회복쾌、병발증발생솔저등우점，가재림상중추엄사용。
Objective To compare the clinical effects laparoscope and traditional open cholecystectomy. Methods 60 patients who had been treated in our hospital from February 2012 to February 2013 for cholecystectomy were selected as research object. They were divided into laparoscope group and laparotomy group. Traditional open cholecystectomy was given to laparotomy group, while laparoscopic cholecystectomy was given to laparoscope group. We compared operation time, postoperative exhaust time, hospital stays, usage rate of paregoric, hospitalization expenses, and complication probability of two groups. Results The variations in operation time (73.8±11.2) and (96.2±10.6)min, postoperative exhaust time (22.5±6.1) and (37.8±16.8)h, hospital stays (5.8±1.2) and (15.9±8.3) d, usage rate of paregoric 20.0% and 75.0%, hospitalization expenses (4678.5±513.2) and (5671.8±522.6) yuan, and complication probability 2.5% and 15.0% had statistical significance(P < 0.05). Hospitalization expenses in laparoscope group was higher than laparotomy group. Except that, laparoscope group was superior to laparotomy group in all aspects.Conclusion Laparoscopic cholecystectomy has the advantages of little trauma, shorter operation time, fast recovery after operation, and low rate of complication. It is worthy of application and promotion in clinic.
