中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
26期
48-49,52
,共3页
小切口胆囊切除术%胆结石伴胆囊炎%传统胆囊切除术%临床疗效
小切口膽囊切除術%膽結石伴膽囊炎%傳統膽囊切除術%臨床療效
소절구담낭절제술%담결석반담낭염%전통담낭절제술%림상료효
Mini-laparotomy cholecystectomy%Gallstones combined with cholecystitis%Traditional cholecystectomy%Clin-ical effect
目的：探讨小切口胆囊切除术治疗胆结石伴胆囊炎的临床效果。方法选择2010年12月~2012年12月在本院接受治疗的70例胆结石伴胆囊炎患者作为研究对象，将所有患者平均分为对照组和观察组，对照组患者接受传统的胆囊切除术治疗，观察组患者接受小切口胆囊切除术治疗，比较两种手术方法的临床疗效。结果观察组患者的手术时间、手术出血量、住院时间、排气时间均少于对照组，观察组患者的的下床活动时间比对照组长，观察组患者的手术效果明显优于对照组。对照组中术后出血2例，胆瘘1例，胆总管损伤1例，感染2例，术后并发生症发生率为17.1%；观察组中术后感染1例，术后并发生症发生率为2.9%，观察组患者的并发症发生率明显低于对照组。结论小切口胆囊切除术治疗胆结石伴胆囊炎的效果显著，安全性较高，值得在临床推广。
目的：探討小切口膽囊切除術治療膽結石伴膽囊炎的臨床效果。方法選擇2010年12月~2012年12月在本院接受治療的70例膽結石伴膽囊炎患者作為研究對象，將所有患者平均分為對照組和觀察組，對照組患者接受傳統的膽囊切除術治療，觀察組患者接受小切口膽囊切除術治療，比較兩種手術方法的臨床療效。結果觀察組患者的手術時間、手術齣血量、住院時間、排氣時間均少于對照組，觀察組患者的的下床活動時間比對照組長，觀察組患者的手術效果明顯優于對照組。對照組中術後齣血2例，膽瘺1例，膽總管損傷1例，感染2例，術後併髮生癥髮生率為17.1%；觀察組中術後感染1例，術後併髮生癥髮生率為2.9%，觀察組患者的併髮癥髮生率明顯低于對照組。結論小切口膽囊切除術治療膽結石伴膽囊炎的效果顯著，安全性較高，值得在臨床推廣。
목적：탐토소절구담낭절제술치료담결석반담낭염적림상효과。방법선택2010년12월~2012년12월재본원접수치료적70례담결석반담낭염환자작위연구대상，장소유환자평균분위대조조화관찰조，대조조환자접수전통적담낭절제술치료，관찰조환자접수소절구담낭절제술치료，비교량충수술방법적림상료효。결과관찰조환자적수술시간、수술출혈량、주원시간、배기시간균소우대조조，관찰조환자적적하상활동시간비대조조장，관찰조환자적수술효과명현우우대조조。대조조중술후출혈2례，담루1례，담총관손상1례，감염2례，술후병발생증발생솔위17.1%；관찰조중술후감염1례，술후병발생증발생솔위2.9%，관찰조환자적병발증발생솔명현저우대조조。결론소절구담낭절제술치료담결석반담낭염적효과현저，안전성교고，치득재림상추엄。
Objective To explore the clinical efficacy of mini-laparotomy cholecystectomy treating patients with gall-stones combined with cholecystitis. Methods 70 cases with gallstones combined with cholecystitis treated in our hospi-tal from December 2010 to December 2012 were selected as research objects and divided into the control group and the observation group.The control group was treated with traditional cholecystectomy,and the observation group was treated with mini-laparotomy cholecystectomy.The clinical efficacy of two groups were compared. Results The operation time,bleeding amount in operation,length of stay and evacuation time of the observation group were longer than those of the control group.The operation effect of the observation group was evidently better than that of the control group.In the control group,there were 2 cases with bleeding after operation,1 case with biliary fistula,1 case with choledochus injury and 2 cases with infection.The incidence rate of complications after operation was 17.1%.In the observation group,there was 1 case with infection after operation,and the incidence rate of complications after operation was 2.9%.The inci-dence rate of complications in the observation group was lower than that in the control group. Conclusion Mini-laparo-tomy cholecystectomy treating patients with gallstones combined with cholecystitis has evident efficacy and is safe, which is worthy of clinical promotion.
