摘要
目的观察腹腔镜微创治疗与传统开腹治疗对肝胆结石患者围术期指标的影响。方法选取2020年4月-2021年4月我院收治的62例肝胆结石患者为研究对象,采用随机数字表法分为对照组和观察组,各31例。对照组采用传统开腹治疗,观察组采用腹腔镜微创治疗,比较两组治疗疗效、临床手术指标(手术时间、术中出血量、肛门排气时间、下床活动时间、住院时间)、疼痛评分及并发症发生率。结果观察组治疗总有效率为90.32%,高于对照组的80.65%,差异有统计学意义(P<0.05);观察组手术时间、术中出血量、肛门排气时间、下床活动时间、住院时间均小于对照组,差异有统计学意义(P<0.05);观察组术后1、3 d疼痛评分低于对照组,差异有统计学意义(P<0.05);两组术后5 d疼痛评分比较,差异无统计学意义(P>0.05);观察组并发症发生率为12.90%,低于对照组的19.35%,差异有统计学意义(P<0.05)。结论相较于传统开腹治疗,腹腔镜微创治疗肝胆结石的效果更优,具有手术时间短、术中出血量少、术后恢复快、疼痛程度低、并发症少等优势。
Objective To observe the effect of laparoscopic minimally invasive surgery and traditional laparotomy on perioperative indexes of patients with hepatolithiasis.Methods A total of 62 patients with hepatolithiasis admitted to our hospital from April 2020 to April 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 31 cases in each group.The control group was treated with traditional laparotomy,and the observation group was treated with laparoscopic minimally invasive surgery.The therapeutic efficacy,clinical surgical indicators(operation time,intraoperative blood loss,anal exhaust time,ambulation time,hospitalization time),pain score and incidence of complications were compared between the two groups.Results The total effective rate of the observation group was 90.32%,which was higher than 80.65%of the control group,and the difference was statistically significant(P<0.05).The operation time,intraoperative blood loss,anal exhaust time,ambulation time and hospitalization time in the observation group were less than those in the control group,and the differences were statistically significant(P<0.05).The pain scores at 1 and 3 d after operation in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05);there was no significant difference in the pain score at 5 d after operation between the two groups(P>0.05).The incidence of complications in the observation group was 12.90%,which was lower than 19.35%in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with traditional laparotomy,laparoscopic minimally invasive surgery is more effective in the treatment of hepatolithiasis,with the advantages of short operation time,less intraoperative blood loss,rapid postoperative recovery,low pain and fewer complications.
作者
洪有林
HONG You-lin(Department of General Surgery,Yiyang County Hospital of Traditional Chinese Medicine,Yiyang 334400,Jiangxi,China)
出处
《医学信息》
2021年第24期120-122,共3页
Journal of Medical Information
关键词
腹腔镜微创治疗
肝胆结石
肛门排气时间
Laparoscopic minimally invasive surgery
Hepatolithiasis
Anal exhaust time
