摘要
目的探讨腹腔镜保胆取石术对胆结石的有效性及安全性。方法回顾性分析本院2016年4月至2020年4月收治的90例胆结石患者的临床资料,根据手术方式不同分为对照组(行开腹胆囊切除术)与观察组(行腹腔镜保胆取石术),每组45例,比较两组临床疗效、并发症发生率、围术期指标。结果观察组治疗总有效率为97.78%,高于对照组的84.44%,差异具有统计学意义(P<0.05);观察组并发症率发生率为4.44%,低于对照组的17.78%,差异具有统计学意义(P<0.05)。观察组胃肠功能恢复时间、肝功能恢复时间、肛门排气时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。结论胆结石患者行腹腔镜保胆取石术治疗效果显著,可清除胆囊结石,消除症状,改善身体状态,且术后并发症少,恢复速度快,可尽早出院,值得临床推广应用。
objective To explore the efficacy and safety of laparoscopic cholecystectomy for gallstones.Methods The clinical data of 90 pa-tients with gallstones treated in our hospital from April 2016 to April 2020 were retrospectively analyzed.According to different surgical methods,they were divided into control group(open cholecystectomy)and observation group(laparoscopic cholecystectomy surgery),with 45 cases in each group,the clinical efficacy,complication rate and perioperative period indicators between the two groups were compared.Results The total effec-tive rate of treatment in the observation group was 97.78%,which higher than 84.44%in the control group,and the difference was statistically signif-icant(P<0.05).The incidence of complications in the observation group was 4.44%,which was lower than 17.78%in the control group,the differ-ence was statistically significant(P<0.05).Conclusion Laparoscopic cholelithiasis in patients with gallstones has significant effect,which can re-move gallstones,eliminate symptoms,improve physical status,and has fewer postoperative complications,which is worthy of clinical application.
作者
段洪
马建军
DUAN Hong;MA Jianjun(Department of General Surgery,Songzi Hospital of Traditional Chinese Medicine,Jingzhou,Hubei,434200,China)
出处
《当代医学》
2022年第12期68-70,共3页
Contemporary Medicine
