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腹腔镜胆囊切除术治疗胆囊结石的效果观察

Observation on the effect of laparoscopic cholecystectomy in the treatment of cholecystolithiasis

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【作者】 程铮

【Author】 CHENG Zheng;Wangjiang County Hospital;

【机构】 望江县医院

【摘要】 目的:探讨腹腔镜胆囊切除术治疗胆囊结石患者的临床效果。方法:研究对象选自医院收治的90例胆囊结石患者,采用随机分组法将患者平分为两组,每组45例患者,分别接受传统开放式胆囊切除术治疗(对照组)和腹腔镜胆囊切除术治疗(观察组)。比较两组治疗效果、术中出血量、首次肛门排气时间、住院时间及生活质量。结果:经过两种方法治疗,观察组患者治疗的总成功率略高于对照组(P>0.05);观察组患者术中出血量少于对照组;观察组患者的住院时间短于对照组(P<0.05);观察组患者各项生活质量的指标评分均高于对照组,差异有统计学意义(P<0.05)。结论:对胆囊结石患者采用腹腔镜胆囊切除术进行治疗,可以显著减少患者在术中的出血量,缩短其术后肛门排气时间,并缩短其住院时间,同时临床治疗效果显著。

【Abstract】 Objective:To explore the clinical effect of laparoscopic cholecystectomy in the treatment of cholecystolithiasis.Methods:Ninety cases of gallbladder stone patients admitted to hospital were selected for the study, and they were equally divided into two groups of 45 cases each using the randomized grouping method, in which the control group was treated with traditional open cholecystectomy and the observation group was treated with laparoscopic cholecystectomy.Afterwards, the two groups were compared in terms of treatment effect, intraoperative bleeding, time to first anal exhaustion, hospitalization time and quality of life.Results: After two methods of treatment,the total success rate of the observation group was higher than that of the control group(P>0.05); the intraoperative bleeding in the observation group was less than that of the control group; the hospitalization time of the observation group was shorter than that of the control group, the comparison of the two groups(P<0.05); the scores of all the indexes of quality of life of the observation group were higher than that of the control group(P<0.05), and the difference was statistically significa.Conclusions:The use of laparoscopic cholecystectomy for the treatment of patients with gallbladder stones can significantly reduce the amount of intraoperative bleeding, shorten the time of postoperative anal exsufflation, and shorten the hospitalization time, as well as the clinical therapeutic effect.

  • 【文献出处】 安徽医专学报 ,Journal of Anhui Medical College , 编辑部邮箱 ,2023年04期
  • 【分类号】R657.4
  • 【下载频次】4
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