摘要
目的对比胆囊结石并胆囊炎患者采用腹腔镜微创疗法与开腹手术治疗的临床疗效。方法 2015年1月—2017年1月选取86例胆囊结石并胆囊炎患者,均经临床检查确诊,将该组患者根据治疗方法不同分为两组,观察组43例患者采用腹腔镜微创疗法治疗,对照组43例患者采用传统开腹手术治疗,对比两组患者临床疗效和手术相关指标。结果治疗有效率比较,观察组93.02%显著高于对照组69.77%,差异有统计学意义(χ~2=17.848 0,P<0.05)。观察组患者手术时间、切口长度分别为(37.34±7.13)min、(3.12±0.35)cm,明显短于对照组(49.99±5.64)min、(11.62±2.43)cm,术中出血量(31.72±8.30)mL明显低于对照组(76.64±13.71)mL,差异有统计学意义(t=9.124 6、22.703 3、18.369 6,P<0.05)。结论腹腔镜微创疗法治疗胆囊结石并胆囊炎的疗效明显优于开腹手术,可取得更好的手术指标,且不良反应发生率低。
Objective To compare the clinical curative effect of laparoscopic minimally invasive therapy and laparotomy in treatment of cholecystolithiasis and cholecystitis. Methods 86 cases of patients with cholecystolithiasis and cholecystitis admitted and treated in our hospital from January 2015 to January 2017 were selected and divided into two groups with 43 cases in each, the observation group and the control group were respectively treated with laparoscopic minimally invasive therapy and laparotomy, and the clinical curative effect and operative related indicators were compared between the two groups. Results The treatment effective rate in the observation group was higher than that in the control group（93.02% vs 69.77%）, and the difference was statistically significant（χ^2=17.848 0,P〈 0.05）, and the operative time and incision length of patients in the observation group were obviously shorter than those in the control group[（37.34±7.13）min,（3.12±0.35）cm vs（49.99±5.64）min,（11.62±2.43）cm], and the intraoperative bleeding amount was obviously lower than that in the control group [（31.72 ±8.30） mL vs（76.64 ±13.71）mL,（t =9.124 6, 22.703 3, 18.369 6, P〈 0.05）], and the difference was statistically significant. Conclusion The curative effect of laparoscopic minimally invasive therapy in treatment of cholecystolithiasis and cholecystitis is better than that of laparotomy, which can better obtain a better operation indicator, and with incidence rate of adverse reactions is low.
作者
俆晋
李强
XU Jin;LI Qiang(Department of Surgery,Second people＇s Hospital of Tai＇an（Psychosis Hospital）,Tai＇an,Shandong Province,271000 China)
出处
《系统医学》
2018年第13期69-71,共3页
Systems Medicine
关键词
腹腔镜
微创疗法
开腹手术
胆囊结石
胆囊炎
Laparoseopie
Minimally invasive therapy
Laparotomy
Choleeystolithiasis
Choleeystitis
