转化医学电子杂志
轉化醫學電子雜誌
전화의학전자잡지
E-Journal of Translational Medicine
2015年
7期
77-78
,共2页
张升山%张佐%李攻克%肖玉清
張升山%張佐%李攻剋%肖玉清
장승산%장좌%리공극%초옥청
胆囊良性疾病%腹腔镜%小切口%钩拉辅助两孔法%胆囊切除术
膽囊良性疾病%腹腔鏡%小切口%鉤拉輔助兩孔法%膽囊切除術
담낭량성질병%복강경%소절구%구랍보조량공법%담낭절제술
benign gallbladder disease%laparoscopic%small incision%aparoscopic cholecystectomy
目的：分析和探讨三种不同腹腔镜术式治疗胆囊良性疾病的临床效果．方法：选取我院2011－09／2014－12收治的240例胆囊良性疾病患者，通过随机数字表法分为甲组（ n＝80）、乙组（ n＝80）及丙组（ n＝80）．甲组患者采用钩拉辅助两孔法腹腔镜胆囊切除术治疗，乙组患者采用腹腔镜辅助小切口胆囊切除术，丙组患者采用常规腹腔镜胆囊切除术，对三组患者临床治疗效果作比较分析．结果：甲组、乙组患者治疗有效率较丙组更高，甲组并发症发生率明显低于乙组、丙组，差异有统计学意义（ P＜0．05）．结论：针对胆囊良性疾病患者，三种方法均能实现良好的治疗效果．相对于传统腹腔镜胆囊切除术来讲，钩拉辅助两孔法腹腔镜胆囊切除术与腹腔镜辅助小切口胆囊切除术治疗效果显著，并发症少，安全性高，临床可结合实际情况选择．
目的：分析和探討三種不同腹腔鏡術式治療膽囊良性疾病的臨床效果．方法：選取我院2011－09／2014－12收治的240例膽囊良性疾病患者，通過隨機數字錶法分為甲組（ n＝80）、乙組（ n＝80）及丙組（ n＝80）．甲組患者採用鉤拉輔助兩孔法腹腔鏡膽囊切除術治療，乙組患者採用腹腔鏡輔助小切口膽囊切除術，丙組患者採用常規腹腔鏡膽囊切除術，對三組患者臨床治療效果作比較分析．結果：甲組、乙組患者治療有效率較丙組更高，甲組併髮癥髮生率明顯低于乙組、丙組，差異有統計學意義（ P＜0．05）．結論：針對膽囊良性疾病患者，三種方法均能實現良好的治療效果．相對于傳統腹腔鏡膽囊切除術來講，鉤拉輔助兩孔法腹腔鏡膽囊切除術與腹腔鏡輔助小切口膽囊切除術治療效果顯著，併髮癥少，安全性高，臨床可結閤實際情況選擇．
목적：분석화탐토삼충불동복강경술식치료담낭량성질병적림상효과．방법：선취아원2011－09／2014－12수치적240례담낭량성질병환자，통과수궤수자표법분위갑조（ n＝80）、을조（ n＝80）급병조（ n＝80）．갑조환자채용구랍보조량공법복강경담낭절제술치료，을조환자채용복강경보조소절구담낭절제술，병조환자채용상규복강경담낭절제술，대삼조환자림상치료효과작비교분석．결과：갑조、을조환자치료유효솔교병조경고，갑조병발증발생솔명현저우을조、병조，차이유통계학의의（ P＜0．05）．결론：침대담낭량성질병환자，삼충방법균능실현량호적치료효과．상대우전통복강경담낭절제술래강，구랍보조량공법복강경담낭절제술여복강경보조소절구담낭절제술치료효과현저，병발증소，안전성고，림상가결합실제정황선택．
AIM: To analyze and investigate the clinical effect of three different laparoscopic operation in the treatment of benign gallbladder disease. METHODS:A total of 240 cases of patients with benign gallbladder disease in our hospital from September 2011 to December 2014 were selected as observation object, who were divided into group A ( n=30) , group B ( n=30) and group C ( n=30) according to a random number table method. Patients of group A received laparoscopic cholecystectomy ( LC ) with auxiliary pull hook, patients of group B was given laparoscopic assisted small incision cholecystectomy, and patients of group C was treated with the routine LC operation. The clinical therapeutic effect of three groups were compared. RESULTS:The therapeutic effect of group A and B was higher than that of group C, and the complication occurrence rate of group A was significantly lower than that of group B and C. The differences were statical siginificant (P<0.05). CONCLUSION: For patients with benign gallbladder diseases, those three methods could achieve good therapeutic effect. Compared with conventional laparoscopic cholecystectomy operation, the methods of LC with auxiliary pull hook and laparoscopic assisted small incision cholecystectomy have more significantly therapeutic effect, with less complication and higher safety. It should combine with the actual situation to choose operation method in clinic.
