开腹胆囊切除术与腹腔镜胆囊切除术治疗胆囊结石的临床效果评价

郭贞亮

（镇安县永乐街道办事处中心卫生院，陕西 商洛，711500）

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摘要：

目的 探讨开腹胆囊切除术与腹腔镜胆囊切除术治疗胆囊结石的临床效果，为临床应用提供参考意见。方法 选取我院2014年2月至2016年5月所收治的174例胆结石患者，根据治疗方式不同分为研究组和对照组。研究组87例，采用腹腔镜胆 囊切除术；对照组87例，采用开腹胆囊切除术。记录两组患者术中出血量、手术时间、首次排气时间及住院时间，并比较两组患者临床疗效。结果 研究组经腹腔镜手术治疗后，术中出血量为（75.1±13.7）mL、手术时间（124.1±19.3）min、首次排气时间（25.1±4.1）h 及术后住院时间（6.1±2.7）d，均显著低于对照组的（135.4±19.2）mL、（165.2±24.1）min、（41.7±5.3）h 及（15.1±3.3）d，差异 具有统计学意义（P<0.01）。研究组经腹腔镜手术治疗后，显效76例、有效11例，临床总有效率为100.00%，显著优于对照组的51例、25例及87.36%，差异具有统计学意义（P<0.01）。结论 与开腹胆囊切除术相比较，腹腔镜胆囊切除术应用于胆结石治疗中，可更好探查腹腔情况，减少二次损伤及术中出血，临床疗效肯定，术后康复质量高，在符合腹腔镜手术指征的前提 下，可作为临床手术治疗胆结石的首选方案之一。

关键词：胆囊结石；腹腔；开腹

中图分类号：R657.4文献标志码：A文章编号：2096-1413(2017)04-0043-02

Evaluation of the clinical effect of open cholecystectomy and laparoscopic cholecystectomy

in the treatment of gallbladder stones
GUO Zhen-liang
(Zhen'an County Central Hospitals of Yongle Street Agency, Shangluo 711500, China)

ABSTRACT: Objective To explore the clinical effect of open cholecystectomy and laparoscopic cholecystectomy in the treatment of gallbladder stones, and provide a reference for clinical application. Methods One hundred and seventy-four cases of patients with gallstones were select in our hospital from February 2014 to May 2016 and divided into study group and control group according to different treatment methods. In the study group, 87 cases were treated with laparoscopic cholecystectomy, and 87 cases in control group were treated with open cholecystectomy. The amount of bleeding, operation time, exhaust time and length of hospital stay in the two groups were recorded, and the clinical effect of the two groups was compared. Results The study group of intraoperative bleeding was (75.1±13.7) mL, operation time was (12.41±19.3) min, first exhaust time was (25.1±4.1) h and postoperative hospitalization time was (6.1±2.7) d, which were significantly better than those in the control group of (135.4±19.2) mL, (165.2±24.1) min, (41.7±5.3) h and (15.1±3.3) d, the differences were statistically significant (P<0.01). Seventy-six case were markedly effective, 11 cases were effective of the study group, andthe total effective rate was 100.00% , which were significantly better than the control group of 51 cases, 25 cases and 87.36%, the differences were statistically significant (P<0.01). Conclusion The peritoneoscope gallbladder excision in the treatment of gallstone has better abdominal exploration, it can reduce secondary injury and intraoperative bleeding, and has postoperative rehabilitation of high quality. It is one of the preferred solutions for clinical treatment of gallstone surgery, in line with the laparoscopic surgery syndrome under the premise.
KEYWORDS: gallbladder stone; laparoscopy; open surgery

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