小切口胆囊切除术与传统胆囊切除术在胆囊疾病中的应用效果比较

曹强

（西安市长安区医院普外科，陕西 西安，710100）

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摘要：

目的 比较小切口胆囊切除术与传统胆囊切除术在胆囊疾病中的临床效果。方法 选取我院收治的78例胆囊疾病患者，将其随机分为对照组和观察组，各39例。对照组采用传统胆囊切除术治疗，观察组采用小切口胆囊切除术治疗。比较两组患者的术中出血量、住院时间等手术指标以及并发症发生情况及血糖、CPR水平。结果 观察组术中出血量、镇静剂使用率、手术时间、住院时间、肠蠕动恢复时间均明显优于对照组（P<0.05）；观察组患者的并发症总发生率明显低于对照组（P<0.05）；治疗后24h， 对照组的血糖及CRP水平均显著高于治疗前（P<0.05），而观察组与治疗前比较，无显著差异（P>0.05），且血糖及CRP水平均低于对照组（P<0.05）。结论 小切口胆囊切除术治疗胆囊疾病临床效果显著，手术时间短，术中出血量少，值得临床推广应用。

关键词：小切口；胆囊切除；胆囊疾病

中图分类号：R575.6文献标志码：A文章编号：2096-1413(2017)14-0101-02

Effect comparison of small incision cholecystectomy and traditional cholecystectomy on gallbladder disease
CAO Qiang
(Department of General Surgery, Chang`an District Hospital, Xi`an 710100, China)

ABSTRACT: Objective To compare the clinical application effect of small incision cholecystectomy and traditional cholecystectomy in patient with gallbladder disease. Methods Seventy cases of patients with gallbladder diseases in our hospital were selected and randomly divided into control group and observation group, with 39 cases in each group. The control group were treated with traditional cholecystectomy, while the observation group received small incision cholecystectomy. The intraoperative blood loss, length of stay and other surgical indicators, complications and blood glucose, CPR levels in the two groups were compared. Results The intraoperative blood loss, sedative usage rate, operation time, hospitalization time and recovery time of peristalsis in the observation group were significantly better than those of the control group (P<0.05); the complications rate in the observation group was significantly lower than that of the control group (P<0.05); 24 h after treatment (P>0.05), the levels of blood glucose and CRP in the control group were significantly higher than those before treatment (P<0.05), while there were no significant differences in the levels of blood glucose and CRP in the observation group than those before treatment, the levels of blood glucose and CRP on the observation group were lower than those of the control group (P<0.05). Conclusion Small incision cholecystectomy in patient with gallbladder disease has remarkable clinical effect, it has short operation time, low intraoperative blood, it is worthy of clinical application. KEYWORDS: small incision; gallbladder excision; gallbladder disease

参考文献：
[1] 刘步前.小切口胆囊切除术与传统开腹胆囊切除术的临床比较[J].临床和实验医学杂志,2011,10(13):1027-1028.
[2] 江国洪.小切口胆囊切除术在基层医院老年患者中的临床应用[J].中国当代医药,2013,20(21):19-22.
[3] 李致远.小切口与传统开腹胆囊切除术对机体应激反应的影响[J].临床合理用药,2013,6(9):111-112.
[4] 刘元军,薛李荣.小切口胆囊切除术治疗胆囊疾病的临床疗效探讨[J].基层医学论坛,2014,18(35):4789-4790.
[5] 韦建英,李春雨,李茵.小切口胆囊切除术在胆囊疾病诊疗中的临床应用[J].吉林医学,2013,34(18):3573.
[6] 黄成宽.小切口胆囊切除术35例临床体会[J].微创医学,2009,4(2):185-186.
[7] 徐冬青,姜芳芳.腹腔镜胆囊切除术与小切口胆囊切除术治疗老年胆囊结石效果比较[J].中国现代医生,2013,51(3):144-145.