不同术式对胆结石的治疗效果比较

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英文篇名：Comparison of Minimally Invasive Cholelithiasis and Laparoscopic Cholecystectomy for Gallstones 作者：杨凡 ; 莫涛 ; 何兴鸿 ; 张林丰 ; 周李芳 英文作者：YANG Fan;MO Tao;HE Xinghong;ZHANG Linfeng;ZHOU Lifang;Department of Thoracic Surgery, Jingmen City General Hospital of Traditional Chinese Medicine;Oncology Department, Jingmen City General Hospital of Traditional Chinese Medicine;Otolaryngology Department, Jingmen City General Hospital of Traditional Chinese Medicine; 关键词：微创保胆取石术 ; 腹腔镜胆囊切除术 ; 胆结石 ; 时间指标 ; 术中出血量 ; 预后效果 英文关键词：minimally invasive cholecystectomy;;laparoscopic cholecystectomy;;cholelithiasis;;time index;;intraoperative blood loss;;prognostic effect 中文刊名：JXUY 英文刊名：China Continuing Medical Education 机构：湖北省荆门市中医医院普外胸外科;湖北省荆门市中医医院肿瘤科;湖北省荆门市中医医院耳鼻喉科; 出版日期：2019-01-30 出版单位：中国继续医学教育 年：2019 期：v.11 语种：中文; 页：JXUY201903037 页数：3 CN：03 ISSN：11-5709/R 分类号：94-96

摘要

目的研究微创保胆取石术与腹腔镜胆囊切除术对胆结石的治疗效果比较。方法选择2016年8月—2017年8月到医院就诊的胆结石患者112例作为研究对象,将其随机分为对照组和观察组,每组分别纳入56例患者。对照组患者采用腹腔镜胆囊切除术治疗,观察组患者采用微创保胆取石术治疗。对比两组患者的相关临床指标,并对比两组患者术后发生不良反应的情况。结果观察组患者手术时间为(0.28±0.02)h,术中出血量为(14.43±0.15)mL,术后肛门排气时间为(10.48±0.26)h,住院时间为(3.21±0.14)d,均优于对照组患者,差异具有统计学意义(P <0.05)。观察组患者术后发生不良反应的发生率为7.14%,低于对照组患者的28.57%,差异具有统计学意义(P<0.05)。结论在胆结石的治疗中,微创保胆取石术具有更明显的优势,手术时间短、出血少,术后恢复块,并发症少。与腹腔镜胆囊切除术相比,治疗效果和术后恢复都更为理想。
        Objective To compare the therapeutic effects of minimally invasive cholecystectomy and laparoscopic cholecystectomy for gallstones. Methods 112 patients with gallstones who came to the hospital from August 2016 to August 2017 were selected as the study subjects. They were randomly divided into control group and observation group, each group included 56 patients. The control group was treated with laparoscopic cholecystectomy. The patients in the observation group were treated with minimally invasive gallstone-preserving lithotripsy. Relevant clinical indicators were compared between the two groups. The adverse reactions after operation were compared between the two groups. Results The operation time, bleeding volume, anal exhaust time and hospitalization time of the patients in the observation group were(0.28±0.02) h,(14.43±0.15) mL,(10.48±0.26) h and(3.21±0.14) d respectively, which were better than those in the control group, the difference was statistically significant(P < 0.05). The incidence of adverse reactions in the observation group was 7.14%, lower than 28.57% in the control group, the difference was statistically significant(P < 0.05). Conclusion In the treatment of gallstones, minimally invasive cholecystectomy has more obvious advantages, shorter operation time, less bleeding, postoperative recovery mass, fewer complications. Compared with laparoscopic cholecystectomy, the curative effect and postoperative recovery are all ideal.

引文

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