胆囊结石腹腔镜微创治疗临床研究

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1、胆囊结石腹腔镜微创治疗临床研究胆囊结石腹腔镜微创治疗临床研究王峰山东省枣庄市峄城区中医院外科，山东枣庄277300[摘要]目的观察胆囊结石腹腔镜微创治疗胆囊结石的临床效果。方法整群选取该院2010年1月—2013年12月收治的95例胆囊结石患者为研究对象，依据不同的治疗方法将患者分为对照组和观察组。比较两组手术时间、术中出血量、术后肛门排气时间住院时间和并发症发生情况。术后1年对患者进行随访，统计结石复发情况。结果两组手术时间、术中出血量和住院时间的比较差异无统计学意义，P0.05；但观察组术后肛门排气时间、并发症发生率优于对照组，差异有统计学意义，P0.05。

2、随访中，观察组未见结石复发病例，对照组有1例，复发率为2.27%，差异无统计学意义，P0.05。结论腹腔镜胆道镜保胆取石术、腹腔镜胆囊切除术均可获得良好的胆囊结石治疗效果，但腹腔镜胆道镜保胆取石术带来的创伤更小，并发症更少，安全性更佳。关键词胆囊结石；腹腔镜微创治疗；保胆取石术；胆囊切除术[中图分类号]R657.42[文献标识码]A[文章编号]1674-074２（２０１5）08（a）－０066-02ClinicalStudiesofLaparoscopicMinimally-invasiveSurgeryforGallstonesWANGFengDepartme

3、ntofSurgery,YichengDistrictHospitalofTCM,Zaozhuang,ShandongProvince,277300China[Abstract]ObjectiveToobservetheclinicaleffectoflaparoscopicminimally-invasivesurgeryinthetreatmentofgallstones.Methods95patientswithgallstonesadmittedinourhospitalduringJanuary2010andDecember2013wereselect

4、edastheresearchobjectanddividedintocontrolgroupandobservationgroupaccordingtotreatmentplan.Laparoscopiccholecystectomyandlaparoscopycombinedwithcholedochoscopeforpreservationofgallbladderwereperformedinthetwogroupsrespectively.Theoperativetime,bloodloss,postoperativeexhausttime,hospi

5、talizationtimeandcomplicationswerecomparedbetweenthem.Therecurrenceswererecordedbasedon1yeasfollow-upforthetwogroups.ResultsTherewerenostatisticallysignificantdifferencesinoperativetime,bloodlossandhospitalizationtimebetweenthetwogroups，P0.05;inpostoperativeexhausttimeandcomplication

6、srate,theobservationgroupwassuperiortothecontrolgroupandthedifferencewasstatisticallysignificant，P0.05.Follow-upshowedthatnorecurrencewasfoundintheobservationgroupand1case(2.27%)inthecontrolgroup,butthedifferencewasnotstatisticallysignificant,P0.05.ConclusionLaparoscopiccholecystecto

7、myandlaparoscopycombinedwithcholedochoscopeforpreservationofgallbladderbothshowgoodeffectinthetreatmentofgallstones,howeverthelatterisoflighttraumaandlesscomplicationsandhighersafety.[Keywords]Gallstone;Laparoscopicminimallyinvasivetreatment;Cholecystolithotomywithgallbladderpreserve

8、d;Cholecyste