腹腔镜下小切口胆囊切除术治疗胆囊结石的疗效

目的:探讨腹腔镜下小切口胆囊切除术治疗胆囊结石的临床疗效。方法:选择2009年6月至2014年6月在我院接受胆囊切除术的190例胆囊结石患者,随机分为小切口组和对照组组,分别接受小切口胆囊切除术和常规胆囊切除术。观察并比较两组患者的手术时间、术中出血量、肠道功能恢复时间、下床活动时间、住院时间、住院总费用以及术后并发症的发生情况。结果:小切口组患者的手术时间、术中出血量、肠功能恢复时间、下床活动时间以及住院时间均优于对照组组(t=18.890、16.748、24.650、11.750、36.409、14.084,P=0.000),但住院费用高于对照组组(t=-8.185,P=0.000);小切口组患者术后并发症的发生率显著低于对照组组,差异具有统计学意义(x2=8.360,P=0.004)。结论:腹腔镜下小切口胆囊切除术治疗胆囊结石的临床疗效显著,不仅手术时间短、术中出血量少,而且利于患者术后恢复。

Clinical Effect of Laparoscopic Cholecystectomy and Cholecystectomy with Small Incision for the Cholecystolithiasis

Objective:To analyze the clinical significance of small incision cholecystectomy.Methods:190 patients with cholecystolithiasis who were treated in our hospital from June 2009 to June 2014 were chosen and randomly divided into the small incision group and the control group. The patients got small incision cholecystectomy and conventional cholecystectomy, respectively. Then the operation time, blood lose, intestinal function recovery, the activity, hospitalization, cost and the incidence of complications were recorded and compared between the two groups.Results:The operation time, blood lose, the time of intestinal function recovery and activity and the hospitalization of the small incision group were higher than those of the patients in the control group (t=18.890, 16.748, 24.650, 11.750, 36.409, 14.084, P=0.000), and the cost of the small incision group was lower than that of the control group (t=-8.185, P=0.000). The incidence of complications in the small incision group was lower than that of the control group (x2=8.360, P=0.004).Conclusion:The small incision cholecystectomy has shorter operation time, lower blood lose and faster recovery.