中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
5期
37-38
,共2页
胆结石%小切口胆囊切除手术%腹腔镜胆囊切除手术
膽結石%小切口膽囊切除手術%腹腔鏡膽囊切除手術
담결석%소절구담낭절제수술%복강경담낭절제수술
Gallstones%Small incision cholecystectomy operation%Laparoscopic cholecystectomy operation
目的：对比与分析小切口手术和腹腔镜胆囊切除在胆结石治疗中的临床疗效。方法：将426例胆结石患者随机分为对照组和观察组，各213例。对照组采取小切口胆囊切除术治疗，观察组采取腹腔镜胆囊切除术治疗，对比两组手术治疗效果、术后疼痛以及术后并发症的发生情况。结果：观察组在手术失血量、手术总时间、下床活动时间、住院总时间等方面均显著地优于对照组(失血量=46.599，P=0.000；手术总时间=8.257，P=0.000；下床活动时间=71.783，P=0.000；住院总时间=21.753，P=0.000)。观察组在手术后6 h、12 h的VAS评分均显著低于对照组(术后6 h=18.854，P=0.000；术后12 h=26.630，P=0.000)。观察组并发症率8.5%，明显低于对照组的22.5%(χ2=16.136，P=0.000)。结论：腹腔镜胆囊切除手术的手术切口小，可提高手术治疗效果，术后恢复时间短，疼痛感弱，并发症少，胆结石患者的治疗应优先考虑腹腔镜胆囊切除手术。
目的：對比與分析小切口手術和腹腔鏡膽囊切除在膽結石治療中的臨床療效。方法：將426例膽結石患者隨機分為對照組和觀察組，各213例。對照組採取小切口膽囊切除術治療，觀察組採取腹腔鏡膽囊切除術治療，對比兩組手術治療效果、術後疼痛以及術後併髮癥的髮生情況。結果：觀察組在手術失血量、手術總時間、下床活動時間、住院總時間等方麵均顯著地優于對照組(失血量=46.599，P=0.000；手術總時間=8.257，P=0.000；下床活動時間=71.783，P=0.000；住院總時間=21.753，P=0.000)。觀察組在手術後6 h、12 h的VAS評分均顯著低于對照組(術後6 h=18.854，P=0.000；術後12 h=26.630，P=0.000)。觀察組併髮癥率8.5%，明顯低于對照組的22.5%(χ2=16.136，P=0.000)。結論：腹腔鏡膽囊切除手術的手術切口小，可提高手術治療效果，術後恢複時間短，疼痛感弱，併髮癥少，膽結石患者的治療應優先攷慮腹腔鏡膽囊切除手術。
목적：대비여분석소절구수술화복강경담낭절제재담결석치료중적림상료효。방법：장426례담결석환자수궤분위대조조화관찰조，각213례。대조조채취소절구담낭절제술치료，관찰조채취복강경담낭절제술치료，대비량조수술치료효과、술후동통이급술후병발증적발생정황。결과：관찰조재수술실혈량、수술총시간、하상활동시간、주원총시간등방면균현저지우우대조조(실혈량=46.599，P=0.000；수술총시간=8.257，P=0.000；하상활동시간=71.783，P=0.000；주원총시간=21.753，P=0.000)。관찰조재수술후6 h、12 h적VAS평분균현저저우대조조(술후6 h=18.854，P=0.000；술후12 h=26.630，P=0.000)。관찰조병발증솔8.5%，명현저우대조조적22.5%(χ2=16.136，P=0.000)。결론：복강경담낭절제수술적수술절구소，가제고수술치료효과，술후회복시간단，동통감약，병발증소，담결석환자적치료응우선고필복강경담낭절제수술。
Objective:To compare and analyze the clinical curative effect of small incision operation and laparoscopic cholecystectomy in the treatment of gallstone.Methods:426 patients with gallstone were randomly divided into the control group and the observation group with 213 cases in each.The control group took the small incision cholecystectomy treatment,and the observation group took laparoscopic cholecystectomy treatment.The surgical treatment effects,postoperative pain and postoperative complications of two groups were compared.Results:The surgical blood loss,total operation time,ambulation time, total hospitalization time and other aspects were significantly lower than those of the control group(tblood loss was=46.599,P=0.000;ttotal operation time=8.257,P=0.000;tambulation time=71.783,P=0.000;ttotal hospitalization time=21.753,P=0).In the observation group,VAS scores at 6 hours,12 hours after operation were significantly lower than those of the control group(t6h=18.854,P=0.000;t12 h=26.630,P=0.000).The complication rate of the observation group was 8.5%,which was significantly lower than 22.5% of the control group(χ 2=16.136,P=0.000).Conclusion:Laparoscopic cholecystectomy operation has small incision.It can improve the operation treatment effect.It has short postoperative recovery time,weak pain, less complications.The treatment of patients with gallstones should give priority to the laparoscopic cholecystectomy operation.
