摘要
目的 :通过对我院 1990年 3月～ 2 0 0 0年 12月 ,小切口胆囊切除术 (minicholecystectomy ,MC) 10 0 2 0例的临床分析 ,论证MC临床应用的可行性。方法 :将前后两个阶段的病例分为A组和B组进行分析。A组 :仅应用部分改进的器械。B组 :制订MC手术的适应证 ,研制MC系列手术器械 ,规范MC手术的操作。结果 :B组的切口延长率、并发症发生率明显低于A组 (P <0 .0 1)。结论 :只要严格掌握适应证 ,应用MC系列器械 ,规范MC操作 ,MC是一种简便、安全、低创的术式 ,可以推广应用。
Objective:To investigate the clinical practice value of MC,we have studied 10020 cases of MC from Mar 1990 to Dec 2000 in our hospital.Methods:Two stage cases were divided into A group and B group. Partially improved instruments were applied in A group. In B group,we establish indication,develop MC series operation instrument and formulate operation precedure.Results:The incision prolonging rate and the complication occurring rate were obviously lower than those in A group.Conclusion:MC is one kind of simple and safe operation for mild trauma and should be widely used,as long as the operation is applied strictly according to what we emphasize above.
出处
《肝胆胰外科杂志》
CAS
2002年第1期26-27,共2页
Journal of Hepatopancreatobiliary Surgery
关键词
小切口
胆囊切除术
胆结石
对比研究
minimal incision
cholecystectomy
cholelithiasis
comprative study
