胆结石患者经腹腔镜与小切口手术切除胆囊治疗的疗效对比

吴雄飞，吕永祥

（1.陕西省榆林市子洲县人民医院普外科，陕西 榆林，718499；2.陕西省渭南市第一医院，陕西 渭南，714000）

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摘要：

目的 对比胆结石患者经腹腔镜与小切口手术切除胆囊治疗的疗效。方法 选取我院2014年5月至2015年5月收治的82例胆结石患者，按照患者住院时间的先后顺序，分成观察组和对照组，各41例。观察组通过腹腔镜手术治疗，对照组给予小切口手术治疗，比较两组患者的临床疗效。结果 观察组手术时间为（62.7±8.9）min，术后腹痛消失时间为（46.9±4.4）h，下 床活动时间为（7.2±1.3）h，住院时间为（4.5±0.8）d，术中出血量为（35.6±5.1）mL；对照组手术时间为（84.3±11.4）min，术后腹痛 消失时间为（77.6±6.3）h，下床活动时间为（22.4±2.6）h，住院时间为（7.5±2.3）d，术中出血量为（88.4±5.7）mL；两组术中出血 量、住院时间、手术时间、术后腹痛消失时间、下床活动时间比较，差异均具有统计学意义（P<0.05）。观察组并发症发生率为 2.44%，明显低于对照组的34.15%（P<0.05）。结论 胆结石患者通过腹腔镜手术治疗，可减少患者的住院时间、手术时间，并能促进患者症状的改善，利于患者及早获得康复，且并发症少，适合于临床应用。

关键词：胆结石；腹腔镜；小切口手术切除胆囊

中图分类号：R657.4文献标志码：A文章编号：2096-1413(2017)04-0039-02

The comparison of curative effect between laparoscopic and small incision cholecystectomy in the

 treatment of patients with gallstones
WU Xiong-fei
（Department of General Surgery, People's Hospital of Zizhou County, Yulin 718499, China）

ABSTRACT: Objective To compare the curative effect in cholecystectomy between laparoscopic and small incision cholecystectomy in the treatment of patients with gallstones. Methods Eighty-two cases of gallstones patients were divided into observation group and control group according to the order of hospitalization from May 2014 to May 2015, with 41 cases in each group. The observation group was treated with laparoscopic surgery, the control group received small incision surgery, the efficacy was compared in the two groups. Results The operation time of observation group was （62.7±8.9）min, the postoperative abdominal pain time was（46.9±4.4）h, the ambulation time was（7.2±1.3）h, the hospital stay was（4.5±0.8）d, the blood loss was （35.6±5.1）mL; in the control group the operation time of the control group was （84.3±11.4）min, the postoperative abdominal pain time was（77.6±6.3）h, the ambulation time was（22.4±2.6）h, the hospital stay was（7.5±2.3）d, the blood loss was （88.4 ±5.7）mL. The blood loss, hospital stay, operative time, postoperative abdominal pain time,ambulation time of the two group were statistically significant（P<0.05）. The complication rate of the observation group was 2.44%, which was significantly lower than 34.15% of the control group （P<0.05）. Conclusion For the treatment of patientswith gallstone, laparoscopic surgery can reduce the hospital stay and operation time, promote the improvement of the symptoms, help patients get early rehabilitation, which is suitable for clinical application.
KEYWORDS: gallstone; laparoscopic; small incision cholecystectomy

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