【摘要】 目的 探讨新型组合式腹腔镜器械进行腹腔镜胆囊切除术和传统腹腔镜胆囊切除术应用效果差异。方法 选取安徽医科大学附属六安医院于2022年9月至2023年2月间收治并符合纳入标准的60例胆囊结石并行腹腔镜胆囊切除术的患者作为研究对象，按照随机数字法分为研究组和对照组，研究组30例使用新型组合式腹腔镜器械进行腹腔镜胆囊切除术，对照组30例行传统腹腔镜胆囊切除术。比较两组患者手术相关情况以及不同时间视觉模拟疼痛量表(VAS)评分。结果 两组患者手术出血量、住院时间比较无统计学差异。研究组手术时间显著长于对照组(P<0.05)。术后第1、3和7天，研究组患者VAS评分明显低于对照组(P<0.05),研究组患者术后镇痛药使用比例明显低于对照组(P<0.05)。结论 和传统腹腔镜胆囊切除术相比，使用新型腹腔镜器械进行腹腔镜胆囊切除术患者的术后疼痛更轻，术后美容效果更好，且术中操作习惯和传统腹腔镜胆囊切除术相似。更多还原

【Abstract】 Objective To explore the difference in the effect of new combined laparoscopic instruments and conventional laparoscopic cholecystectomy. Methods A total of 60 patients with concurrent laparoscopic cholecystectomy in Lu′an hospital affiliated to Anhui Medical University admitted from September 2022 to February 2023 and meeting the inclusion criteria as the study object were divided into study group and control group according to random number method, 30 cases performed laparoscopic cholecystectomy using new type of combined laparoscopic instruments, and another 30 patients underwent traditional laparoscopic cholecystectomy. Operation-related conditions and different time visual analog pain scale(VAS) scores were compared between the two groups. Results There was no statistical difference in the bleeding loss and length of hospitalization between the two groups. The operation time of the study group was significantly longer than that of the control group(P<0.05). On postoperative days 1, 3 and 7, the VAS score was significantly lower than that in the control group(P<0.05), and the proportion of postoperative analgesics use in the study group was significantly lower than that in the control group(P<0.05). Conclusion Compared with conventional laparoscopic cholecystectomy, patients undergoing laparoscopic cholecystectomy using novel laparoscopic instruments have lower postoperative pain and better postoperative cosmetic results, and their intraoperative operation habits are similar to those of conventional laparoscopic cholecystectomy.更多还原