摘要
目的:探讨腹腔镜胆囊切除术治疗胆囊结石的围术期指标、术后疼痛程度及并发症情况。方法:选取48例2016年9月-2018年1月于笔者所在医院就诊的胆囊结石患者,按随机数字表法分为腹腔镜组和开腹切除组,每组24例,分别采用腹腔镜下胆囊切除术和开腹胆囊切除术,比较两组围术期指标和并发症情况。结果:腹腔镜组在术中时间、手术中的出血量、患者术后肛门排气时间、住院时长及术后24 h患者疼痛情况均优于开腹切除组,腹腔镜组术后并发症发生率为4.17%(1/24),低于开腹手术组的33.33%(8/24),比较差异均有统计学意义(P<0.05)。结论:相比开腹胆囊切除术,腹腔镜下胆囊切除术能明显促进术后恢复,降低疼痛程度及手术相关并发症发生风险,值得在临床中积极推广应用。
Objective：To investigate perioperative indicators,postoperative pain and complications of laparoscopic cholecystectomy for gallstones.Method：A total of 48 cholecystolithiasis in the author’s hospital from September 2016 to January 2018 were divided into laparoscopic and open resection group,with 24 cases in each group.Laparoscopic cholecystectomy and open cholecystectomy were used,compared the operative indexes and complications of the two groups.Result：In the laparoscopy group,the intraoperative time,the amount of bleeding in the operation,the time of anal exhaust after operation,the length of hospitalization and the pain of 24 h patients were better than those in the laparotomy group（P〈0.05）.The incidence of postoperative complications in the laparoscopy group was 4.17%（1/24）,which was lower than that in the open operation group（8/24）,and the differences were statistically significant（P〈0.05）. Conclusion：Compared with open cholecystectomy,laparoscopic cholecystectomy can obviously promote postoperative recovery,reduce the degree of pain and the risk of complications.It is worthy of application in clinical practice.
作者
吴大昌
苏柽
刘中曙
WU Dachang;SU Cheng;LIU Zhongshu(Ningde People＇s Hospital,Ningde 352100,China)
出处
《中外医学研究》
2018年第30期14-16,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
胆结石
腹腔镜胆囊切除术
开腹胆囊切除术
腹腔镜
Cholelithiasis
Laparoscopic cholecystectomy
Open cholecystectomy
Laparoscopy
