摘要
目的比较两孔法腹腔镜胆囊切除术与传统四孔法胆囊切除术治疗结石性胆囊炎的近期疗效。方法选取我院86例结石性胆囊炎患者,采用随机数字表法将其分为两孔法腹腔镜胆囊切除术组(简称观察组)和传统四孔法胆囊切除术组(简称对照组),比较两组手术时间、切口长度、术中出血量、肛门排气时间、住院时间、住院费用及切口感染情况;比较两组患者术后6h、12h、24h疼痛程度。结果观察组患者在手术切口长度上明显短于对照组,差异具有统计学意义(P<0.05);两组的手术时间、术中出血量、肛门排气时间、切口感染等差异均无统计学意义(P>0.05);对照组患者在术后12h、24h疼痛评分上明显高于观察组患者,差异具有统计学意义(P<0.05);两组患者在术后6h疼痛评分上差异无统计学意义(P>0.05)。结论对于传统四孔法胆囊切除术,两孔法腹腔镜胆囊切除术在治疗结石性胆囊炎上有术后疼痛轻、切口短等优点,值得临床推广。
Objective To compare and analyze the short-term effects of two-port laparoscopic cholecystecto- my and four-port laparoscopic cholecystectomy. Methods Eighty-six patients who had calculous cholecystitis were selected in our hospital and randomly divided into the observation group （treated by two-port laparoscopic cholecystectomy） and the control group （treated by four-port laparoscopic cholecystectomy）. The operation dura- tion, length of the cut, bleeding amount, anus exhausting time, length of hospital stay, hospitalization costs, and in- cision infection were compared between the two groups. Results In the observation group, the length of the cut was significantly shorter than that of the control group （P〈0.05）. The operation duration, bleeding amount, anus exhausting time, and incision infection showed no statistically significant difference between the two groups （P〉 0.05）. The pain score 12 h, 24 h after operation in the observation group were significantly lower than those in the control group （/＇〈0.05）, while the pain score 6 h after operation showed no statistically significant difference be- tween the two groups （P〉0.05）. Conclusion Two-port laparoscopic cholecystectomy is safe and feasible with a higher patient satisfaction score and lighter postoperative pain, compared with conventional four-port laparoscopic cholecystectomy.
出处
《海南医学》
CAS
2013年第14期2066-2068,共3页
Hainan Medical Journal
关键词
腹腔镜
两孔法
四孔法
疗效
Laparoscopic cholecystectomy
Two-port
Four-port
Effect
