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1、腹腔镜胆囊切防术与开腹胆囊切除治疗结石性胆囊炎的效果对比徐红生云南省曲靖市陆良县人民医院普外科655600【摘要】冃的:探讨腹腔镜胆囊切防术与开腹胆囊切除治疗结石性胆囊炎的疗效差异。方法:将2014年4月至2015年11月于我院确诊为结石性胆囊炎,并行手术治疗的283例患者纳入研究并进行随机分组,观察组241例采用腹腔镜胆囊切除治疗,对照组42例患者则采用传统开腹胆囊切除治疗,比较两组患者治疗效果及并发症情况。结果:观察组手术时间、住院时间、术后下床时间、术屮出血量、术后排气时间均更少,差异显著,P<0.05;对照组屮1
2、0例患者出现各类并发症,总发生率23.81%,观察组则仅出现3例,总发生率4.98%,低于对照组,差异显著,P<0.05o结论:与开腹胆囊切除术相比,腹腔镜切除术治疗创伤更小,术后恢复快,且并发症发生率更低,若经济及医疗设备允许可作为首选治疗方案。【关键词】腹腔镜胆囊切防术;开腹胆囊切除;结右性胆囊炎;效果[Abstract]:Objective:laparoscopicgallbladderanticuttingoperationandopencholecystectomyresectionforthetreatmen
3、tofthedifferencesintheefficacyofcalculouscholecystitis.Methods:NovemberApril2014to2015yearsdiagnosedinourhospitalforcalculouscholecystitis,parallelsurgicaltreatmentof283caseswereincludedinthestudyandwererandomlydividedintogroup,observationgroupof241casesoflaparoscop
4、iccholecystectomyinthetreatment,controlgroupof42patientsisusedtraditionalsigmoidectomycysticresectioninthetreatmentof,comparedtwogroupsoftreatmenteffectandcomplicationswereobserved.Results:theoperationtimeoftheobservationgroup,hospitalizationtime,postoperativeambula
5、tiontime,intraoperativebleedingvolume,postoperativeexhausttimewereless,thediffereneewassignificant,P<0.05;thecontrolgroup10casesofpatientshadvariouskindsofcomplications,thetotalincideneerateis23.81%,theobservationgrouponlyappearedin3cases,thetotalincideneeof4.98%
6、,lowerthanthatofthecontrolgroup,thesignificantdifference.ConclusionP<0.05•:andopencholecystectomyresectionsurgerycompared,laparoscopicsurgeryinthetreatmentoflesstrauma,postoperativerecoveryfast,andthecomplicationrateislower,ifeconomicandmedicalequipmentallowscanb
7、eusedasthepreferredtreatment・[Keywords]:laparoscopiccholecystectomy;opencholecystectomy;calculuscholecystitis;effect近年来由于饮食结构的变化,我国胆囊结石发病率呈现抬高趋势,根据病位不同,可分为胆囊结石、胆总管结石、肝内或肝外胆管结石。作为胆道系统中最常见的病变,结石性胆囊炎是由于胆囊内或胆囊颈部结石梗阻所致,若不釆取积极治疗可引发坏疽性胆囊炎、胆囊积脓、胆囊穿孔等并发症,目前仍以手术治疗为主[1]。但传统开腹术
8、存在创伤大,术后恢复慢的弊端,近年来微创技术不断发展,腹腔镜开始应用与肝胆外科各类疾病的治疗,我们自2014年开始分别应用两种手术方案以对比疗效,在此汇报成果。1资料与方法1.1-般资料均为2014年4月至2015年月于我院住院部就诊且确诊为结石性胆囊炎(参照吴在德编制的《外