| 聂姬锋.腹腔镜微创保胆取石术与开腹保胆取石术治疗胆囊结石的临床对比研究[J].浙江中西医结合杂志,2016,26(6): |
| 腹腔镜微创保胆取石术与开腹保胆取石术治疗胆囊结石的临床对比研究 |
| Clinical comparison of minimally invasive Laparoscopy and Open Surgery for Gallbladder-preserving in Patients with Cholecystolithiasis |
| 投稿时间：2016-01-16 修订日期：2016-02-04 |
| DOI： |
| 中文关键词: 腹腔镜 保胆取石术 胆囊结石 |
| 英文关键词:Laparoscopy gallbladder-preserving lithotomy Cholecystolithiasis |
| 基金项目: |
|
| 摘要点击次数: 1026 |
| 全文下载次数: 14 |
| 中文摘要: |
| 目的比较腹腔镜微创保胆取石术与开腹保胆取石术治疗胆囊结石的疗效。方法回顾分析我院2012年5月至2015年7月行保胆取石术治疗胆囊结石患者82例,其中腹腔镜下完成40例(微创组),开腹下完成42例(开腹组)。观察两组手术时间、术后排气时间、术后住院时间、术后饮食恢复时间、住院费用、并发症、术后止痛剂使用比例。结果微创组手术时间显著长于开腹组(P < 0.01)；微创组在术后排气时间、术后住院时间、术后饮食恢复时间均优于开腹组,且具有统计学意义(P< 0.05)；微创组术后并发症发生率、术后止痛剂使用比例均显著显著低于开腹组(P < 0.01)；微创组住院费用(8233+786)明显高于开腹组(6743+689)(P < 0.01)。结论腹腔镜微创保胆取石术具有创伤小、术后胃肠功能恢复快、住院时间短、并发症发生率低等优点,值得临床推广。 |
| 英文摘要: |
| Objective To compare and analyze the effects of minimally invasive laparoscopy and open mini-incision surgery in cholecystolithiasis patients with the Gallbladder preserved. Methods Collect the datas of cholecystolithiasis patients in our hospital from May 2012 to July 2015, 82 cases was received cholelithotomy with the gallbladder preserved byminimally invasive laparoscopy surgery (n=40) or mini-incision open surgery (n=42). Observe the operative time, gastrointestinal function recovery time, postoperative hospitalization duration,postoperative diet recovery time, hospitalization expense and rate of postoperative analgesics use and complications of these two groups. Results The average operation time in minimally invasive group was significantly longer than that in the open group(P< 0.01). The gastrointestinal function recovery time, postoperative hospitalization duration, and postoperative diet recovery time in minimally invasive group are all shorter than that in the open group with statistical significance(P< 0.05). The incidence rate of complications and the use of analgesics after operation in minimally invasive group are both significantly lower than that in the open group(P < 0.01). The hospitalization expense in minimally invasive group and open group are (8233+786) and (6743+689), separately with statistical significance(P < 0.01)。 Conclusions Minimally invasive Laparoscopy surgery applied for Cholecystolithiasis with the gallbladder preserved has its advantages as minimal injury, quick recovery, shorter hospitalization duration and fewer incidence of postoperative complications and is worth of clinical promotion. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
