不同手術(shù)方法治療膽囊結(jié)石的效果比較研究

林永利+顧文雙+楊曉光

[摘要] 目的 探討不同手術(shù)方法治療膽囊結(jié)石的臨床療效。方法 將我院2009年1月～2010年1月應(yīng)用傳統(tǒng)開腹膽囊切除術(shù)治療的60例膽囊結(jié)石患者設(shè)立為A組，同期應(yīng)用腹腔鏡膽囊切除術(shù)治療的膽囊結(jié)石54例設(shè)立為B組以及同期行小切口膽囊切除術(shù)治療的62例膽囊結(jié)石患者設(shè)立為C組，應(yīng)用統(tǒng)計(jì)學(xué)方法對(duì)比分析各組患者的手術(shù)效果、術(shù)后恢復(fù)情況及并發(fā)癥情況。結(jié)果 所有患者均全部治愈，B、C組的療效明顯優(yōu)于A組，差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。但相對(duì)C組來(lái)說(shuō)，B組大部分觀察指標(biāo)較C組更占一定優(yōu)勢(shì)，B組的手術(shù)時(shí)間短，術(shù)中出血少，術(shù)后患者下床活動(dòng)早，術(shù)后并發(fā)癥少，術(shù)后恢復(fù)效果好。結(jié)論 腹腔鏡膽囊切除術(shù)治療膽囊結(jié)石手術(shù)效果明顯優(yōu)于傳統(tǒng)開腹膽囊切除術(shù)及小切口膽囊切除術(shù)，具有創(chuàng)傷小、操作簡(jiǎn)單、安全性高、恢復(fù)快、并發(fā)癥少等優(yōu)點(diǎn)，值得廣泛推廣和應(yīng)用。

[關(guān)鍵詞] 膽囊結(jié)石；傳統(tǒng)開腹膽囊切除術(shù)；腹腔鏡膽囊切除術(shù)；小切口膽囊切除術(shù)

[中圖分類號(hào)] R657.4 [文獻(xiàn)標(biāo)識(shí)碼] B [文章編號(hào)] 1673-9701（2014）02-0146-03

Effect of different surgical treatment of gallbladder stones

LIN Yongli1 GU Wenshuang2 YANG Xiaoguang2

1.Department of NO.1 General Surgery，Liaoyang Petrochemical General Hospital in Liaoning Province，Liaoyang 111003， China； 2.Department of NO.4 General Surgery，Liaoyang Petrochemical General Hospital in Liaoning Province，Liaoyang 111003， China

[Abstract] Objective To investigate the clinical efficacy of different surgical methods in treatment of gallbladder stones. Methods From January 2009 to January 2010 in our hospital， 60 cases of gallbladder stones patients who treated by conventional laparotomy resection of the gallbladder， were set up for the A group， 54 cases patients treated by laparoscopic cholecystectomy for gallbladder stones were set for B group， and 62 cases patients treated by concomitant treatment of small-incision cholecystectomy were set up for the C group， the effect of surgery， postoperative recovery and complications were compared by the statistical methods. Results All patients were cured， group B and group C were significantly better than groupA， the difference was statistically significant （P <0.05）. But relatively group C， the most observed indicators of group B accounted for more than a certain advantage than group C， operative time of group B was shorter， the blood loss of group B was less， early postoperative ambulation， group B had fewer complications， had better postoperative recovery effect. Conclusion Laparoscopic cholecystectomy gallstone surgery is superior to conventional open resection of the gallbladder and small-incision cholecystectomy， with less trauma， simple operation， safe and rapid recovery， fewer complications，it is worth widely promoted and applied.

[Key words] Gallbladder stones； Conventional open resection of the gallbladder； Laparoscopic cholecystectomy； Small-incision cholecystectomy

膽囊切除術(shù)是治療膽囊結(jié)石的經(jīng)典術(shù)式，目前臨床上治療膽囊結(jié)石主要采用的術(shù)式為傳統(tǒng)開腹膽囊切除術(shù)、小切口膽囊切除術(shù)[1]。同時(shí)，近年來(lái)，隨著微創(chuàng)技術(shù)的發(fā)展，腹腔鏡膽囊切除術(shù)（Laparoscopic cholecystectomy，L C）也已廣泛用于膽囊結(jié)石的治療[2]。本研究將我院2009年1月～2010年1月應(yīng)用傳統(tǒng)開腹膽囊切除術(shù)治療的60例膽囊結(jié)石患者設(shè)立為A組，另同期應(yīng)用腹腔鏡膽囊切除術(shù)治療的膽囊結(jié)石54例設(shè)立為B組以及同期行小切口膽囊切除術(shù)治療的62例膽囊結(jié)石患者設(shè)立為C組，應(yīng)用統(tǒng)計(jì)學(xué)方法對(duì)比分析各組患者的手術(shù)效果、術(shù)后恢復(fù)情況及并發(fā)癥情況。現(xiàn)對(duì)比分析如下。endprint

1 資料與方法

1.1一般資料

將我院2009年1月～2010年1月應(yīng)用傳統(tǒng)開腹膽囊切除術(shù)治療的60例膽囊結(jié)石患者設(shè)為A組，同期應(yīng)用腹腔鏡膽囊切除術(shù)治療的膽囊結(jié)石54例設(shè)為B組以及同期行小切口膽囊切除術(shù)治療的62例膽囊結(jié)石設(shè)為C組，各組患者的年齡、結(jié)石情況等比較，差異均無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05），具有可比性。