中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
15期
49-50
,共2页
腹腔镜%胆囊结石%胆总管结石%疗效
腹腔鏡%膽囊結石%膽總管結石%療效
복강경%담낭결석%담총관결석%료효
Laparoscopy%Cholecyslithiasis%Choledocholithiasis%Clinical effect
目的：探讨开腹手术和腹腔镜手术治疗老年胆囊及胆总管结石的临床疗效。方法将2010年5月至2013年5月收治的156例胆囊及胆总管结石的老年患者，随机分为开腹组和腹腔镜组，每组78例。开腹组采用传统开腹手术进行治疗，观察组采用腹腔镜手术进行治疗，比较两组患者的临床治疗效果。结果经治疗后，腹腔镜组总有效率（93.59%）明显高于开腹组（83.33%），两组比较差异有统计学意义（χ2=4.0193，P<0.05）；两组手术时间比较差异未见统计学意义（ P>0.05）；腹腔镜组术中出血量、术后排气时间、住院时间和胃肠功能恢复时间均显著短于开腹组，两组比较差异有统计学意义（ P均<0.01）；同时，开腹组总并发症发生率（23.08%）明显高于腹腔镜组（8.97%），两组比较差异有统计学意义（χ2=5.7637，P<0.05）。结论腹腔镜治疗老年胆囊及胆总管结石疗效好，术中创伤小，出血量少，术后并发症发生率低，值得临床推广应用。
目的：探討開腹手術和腹腔鏡手術治療老年膽囊及膽總管結石的臨床療效。方法將2010年5月至2013年5月收治的156例膽囊及膽總管結石的老年患者，隨機分為開腹組和腹腔鏡組，每組78例。開腹組採用傳統開腹手術進行治療，觀察組採用腹腔鏡手術進行治療，比較兩組患者的臨床治療效果。結果經治療後，腹腔鏡組總有效率（93.59%）明顯高于開腹組（83.33%），兩組比較差異有統計學意義（χ2=4.0193，P<0.05）；兩組手術時間比較差異未見統計學意義（ P>0.05）；腹腔鏡組術中齣血量、術後排氣時間、住院時間和胃腸功能恢複時間均顯著短于開腹組，兩組比較差異有統計學意義（ P均<0.01）；同時，開腹組總併髮癥髮生率（23.08%）明顯高于腹腔鏡組（8.97%），兩組比較差異有統計學意義（χ2=5.7637，P<0.05）。結論腹腔鏡治療老年膽囊及膽總管結石療效好，術中創傷小，齣血量少，術後併髮癥髮生率低，值得臨床推廣應用。
목적：탐토개복수술화복강경수술치료노년담낭급담총관결석적림상료효。방법장2010년5월지2013년5월수치적156례담낭급담총관결석적노년환자，수궤분위개복조화복강경조，매조78례。개복조채용전통개복수술진행치료，관찰조채용복강경수술진행치료，비교량조환자적림상치료효과。결과경치료후，복강경조총유효솔（93.59%）명현고우개복조（83.33%），량조비교차이유통계학의의（χ2=4.0193，P<0.05）；량조수술시간비교차이미견통계학의의（ P>0.05）；복강경조술중출혈량、술후배기시간、주원시간화위장공능회복시간균현저단우개복조，량조비교차이유통계학의의（ P균<0.01）；동시，개복조총병발증발생솔（23.08%）명현고우복강경조（8.97%），량조비교차이유통계학의의（χ2=5.7637，P<0.05）。결론복강경치료노년담낭급담총관결석료효호，술중창상소，출혈량소，술후병발증발생솔저，치득림상추엄응용。
Objective To investigate the clinical effects of laparoscopy and open surgery on elderly patients with cholecyslithiasis and choledocholithiasis. Methods The 156 patients who got medical treatment in our hospital from May 2010 to May 2013 were randomly divided into the open group and the laparoscopy group,each group had 78 patients,and patients in open group were treated with laparotomy,while patients in laparoscopy group were given laparoscopy. Then the clinical effects of the two groups were compared. Results After treatment,the total effective rate in laparoscopy group was significantly higher than that in the open group(χ2 =4. 0193,P<0. 05);There was no significant difference in the opera-tion time between the two groups(P>0. 05);the blood loss,the time of anal passage of gas,postoperative hospital stay and postoperative stomach intestinal function recover time in the laparoscopy group were significantly shorter than those in the open group( P each<0. 01);Simultaneously,the incidence of complications in laparoscopy group was 8. 97%,which was significantly shorter than that in the open group(23. 08%),the difference was significant(χ2 =5. 7637,P<0. 05). Conclusions The curative effect of laparoscopy on elderly cholecyslithiasis and choledocholithiasis is good,and has mini-mal wound,less blood loss,fewer complications,so it is worthy of promotion and application.
