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1、腹腔镜胆囊切除术对胆结石治疗效果分析doi：10.3969/j.issn.1007-614x.2014.21.23摘要目的：探讨和分析腹腔镜胆囊切除术治疗胆结石的临床疗效。方法：2011年3月-2013年5月收治胆•结石患者74例，随机分为对照组和观察组，每组37例。对照组采取传统开腹胆囊切除术治疗，观察组采取腹腔镜胆囊切除术治疗，观察比较两组手术时间、术中出血量、住院时间、肛门排气时间、术后并发症及临床疗效。结果：经不同手术方法治疗后，观察组总有效率94.6%,明显优于对照组总有效率73.05,组间比较差异有统计学意义（P〈0.05）；两组各项指标比较，观察组明显优于对照组，组间
2、比较差异有统计学意义（P〈0.05）；术后两组并发症发生率比较,观察组并发症发生率10.8%,明显低于对照组并发症发生率29.7%,组间比较差异有统计学意义（卩〈0.05）。结论：对于胆结石患者，采用腹腔镜胆囊切除术治疗，能够明显缩短手术时间，减少术中出血量，而且术屮痛苦小，并发症发生率低，临床疗效确切，值得临床推广及应用。关键词腹腔镜胆囊切除术胆结石临床疗效Analysisofthetherapeuticeffectoflaparoscopiccholecystectomyforgal1stonesLiYingliang,DuanZhonghua,WangZhengfu,Wang
3、Zhongyun,LiIlongmeiDepartmentofsurgical,thePeople，sHospitalofShuangbaiCounty,ChuxiongPrefecture,Yunnan615100AbstractObjective：Toinvestigateandanalysethetherapeuticeffectoflaparoscopiccholecystectomyforgallstones.Methods：74caseswithgal1stonewereselectedfromMarch2011toMay2013・Theywererandomlydiv
4、idedintothecontrolgroupandtheobservationgroupwith37casesineach.Thecontrolgroupweretreatedwithtraditionalopencholecystectomy.Theobservationgroupwereadoptedlaparoscopiccholecystectomy.Thenobserveandcompareoperationtime,intraoperativebloodloss,hospitalizationtime,analexhausttime,postoperativecomp
5、licationsandclinicalefficacyintwogroups^Results：Afterthetreatmentofdifferentoperationmethods,thetotalefficiencyofobservationgroupwas94.6%,anditwassignificantlybetterthanthecontrolgroupwiththetotalefficiencyof73.05%,andtherewasstatisticalsignificancebetweenthetwogroups(P<0.05).Whencomparedthein
6、dicatorsoftwogroups,theobservationgroupwerebetterthanthecontrolgroup,andthedifferencewerestatisticallysignificantebetweenthetwogroups(P<0.05).Comparedpostoperativecomplicationsrateoftwogroups,theobservationgroupwas10.8%,significantlylowerthanthecontrolgroupwiththecomplicationsrateof29.7%,andth
7、edifferencewerestatisticallysignificantebetweenthetwogroups(卩〈0.05).Conclusion：TnthetreatmentonpatientswithgalIstones,laparoscopiccholecystectomycansignificantlyshortentheoperationtime,bleedingless.Intraoperativepainissmall.Therateofcom
