中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
9期
41-43
,共3页
胆囊结石%腹腔镜胆囊切除术%开腹胆囊切除术
膽囊結石%腹腔鏡膽囊切除術%開腹膽囊切除術
담낭결석%복강경담낭절제술%개복담낭절제술
Gallstones%Laparoscopic cholecystectomy%Open cholecystectomy
目的 观察腹腔镜胆囊切除术(LC)与开腹胆囊切除术在临床上治疗胆囊结石的疗效,为基层医院治疗胆囊结石的手术方式提供更好的选择.方法 选取在鄢陵县人民医院住院的86例胆囊结石患者,并随机分为两组,腹腔镜组(LC组)43例在腹腔镜下行胆囊切除术,开腹组(OC组)43例行开腹胆囊切除术.比较两组患者手术后临床效果及术后并发症的情况.结果 ①两组患者手术平均时间、术中出血量比较差异有统计学意义(P＜0.05);②两组术后胃肠道恢复正常排气时间、排便时间、术后抗菌药物使用时间、术后平均住院日及并发症的发生率比较,差异均有统计学意义(P＜0.05).结论 腹腔镜下行胆囊切除术临床效果较为明显,与开腹胆囊切除术相比,具有对患者创伤较小、安全系数相对较高、术中平均出血量相对较少、术后恢复相对较快、住院时间较短、术后并发症发生率低等优点,值得临床基层医院大力推广.
目的 觀察腹腔鏡膽囊切除術(LC)與開腹膽囊切除術在臨床上治療膽囊結石的療效,為基層醫院治療膽囊結石的手術方式提供更好的選擇.方法 選取在鄢陵縣人民醫院住院的86例膽囊結石患者,併隨機分為兩組,腹腔鏡組(LC組)43例在腹腔鏡下行膽囊切除術,開腹組(OC組)43例行開腹膽囊切除術.比較兩組患者手術後臨床效果及術後併髮癥的情況.結果 ①兩組患者手術平均時間、術中齣血量比較差異有統計學意義(P＜0.05);②兩組術後胃腸道恢複正常排氣時間、排便時間、術後抗菌藥物使用時間、術後平均住院日及併髮癥的髮生率比較,差異均有統計學意義(P＜0.05).結論 腹腔鏡下行膽囊切除術臨床效果較為明顯,與開腹膽囊切除術相比,具有對患者創傷較小、安全繫數相對較高、術中平均齣血量相對較少、術後恢複相對較快、住院時間較短、術後併髮癥髮生率低等優點,值得臨床基層醫院大力推廣.
목적 관찰복강경담낭절제술(LC)여개복담낭절제술재림상상치료담낭결석적료효,위기층의원치료담낭결석적수술방식제공경호적선택.방법 선취재언릉현인민의원주원적86례담낭결석환자,병수궤분위량조,복강경조(LC조)43례재복강경하행담낭절제술,개복조(OC조)43례행개복담낭절제술.비교량조환자수술후림상효과급술후병발증적정황.결과 ①량조환자수술평균시간、술중출혈량비교차이유통계학의의(P＜0.05);②량조술후위장도회복정상배기시간、배편시간、술후항균약물사용시간、술후평균주원일급병발증적발생솔비교,차이균유통계학의의(P＜0.05).결론 복강경하행담낭절제술림상효과교위명현,여개복담낭절제술상비,구유대환자창상교소、안전계수상대교고、술중평균출혈량상대교소、술후회복상대교쾌、주원시간교단、술후병발증발생솔저등우점,치득림상기층의원대력추엄.
Objective To observe the effects of laparoscopic cholecystectomy (LC) and open cholecystectomy on gallstones,and provide better choice for operation method of gallstones in basic hospital.Methods Eighty-six cases of gallstone were selected in Yanling people' s hospital,and were randomly divided into two groups.The 43 cases in laparoscopic group (LC group) underwent laparoscopic cholecystectomy,and the 43 cases in the open surgery group (OC group) underwent open cholecystectomy.The clinical efficacy and postoperative complications of the two groups were compared after surgery.Results ()There were significant differences in the average surgery time and blood loss between the two groups(P ＜ 0.05).()There were significant differences in postoperative gastrointestinal exhaustion recovery time,defecation time,postoperative antibiotics usage time,the postoperative average hospital stay and the incidences of complications between the two groups (P ＜ 0.05).Conclusions Compared with open cholecystectomy,the effect of laparoscopic cholecystectomy is better,and it has the advantages of little surgical trauma,safe,less intraoperative average blood loss,rapid postoperative recovery,shorter hospital stay,low postoperative complication incidence,and is worthy to be vigorously promoted in grass-roots hospitals.
