【摘要】 目的评估小切口治疗胆囊病变的效果,探讨小切口治疗胆囊病变在基层医院的应用。方法采用回顾性资料,统计1995年1月至2006年12月利用小切口治疗的238例胆囊病变患者,观察手术时间、出血量、并发症发生率、术后下床活动、保留胃管及肛门排气时间和出院后随访情况。结果本组238例胆囊病变患者采用小切口切除胆囊,全部痊愈出院。手术时间、出血量、并发症发生率、术后下床活动、保留胃管及肛门排气时间均优于传统手术方法。结论小切口治疗胆囊病变操作简单,与常规手术比较,有创伤较小、手术时间较短、出血较少、患者术后恢复较快等特点。术后早期即可下床活动,胃肠减压时间及排气时间较常规手术短。更多还原

【Abstract】 Objective To evaluate the effect of treatment of the gallbladder disease by small incision,and to explore the practice of the operation in the primary hospital.Methods A retrospective analysis was performed on 238 patients suffered from gallbladder disease resected with small incision from 1995 to 2006 in our hospital.The operational time,bleeding quantity,complication rate,out-of-bed activity,the reserving time of the decompressing tube in the stomach and the exhausting time from fundament were observed.All patients were followed-up for 1 week or 1 month.Results All patients were performed cholecystectomy with small incision about 6~8 centimeters and recovered well.The operation was better in operational time,bleeding quantity,complication rate,out-of-bed activity,gastrointestinal decompression time and exhausting time were shorter compared with the traditional cholecystectomy.Conclusion The small incision used to cholecystectomy is simple and safety method in gallbladder disease.更多还原