腹腔镜胆囊切除术治疗胆囊息肉样病变的临床观察

摘要

Objective: To evaluate the laparoscopic cholecystectomy gallbladder polypoid lesions of the clinical efficacy and safety. Method: The patients with polypoid lesions of the gallbladder, 30 patients with laparoscopic cholecystectomy ( observation group ) and 35 cases were treated with traditional open treatment ( control group ), compared with both operative time, blood loss, postoperative discharge time , antibiotics, time, postoperative hospital stay and complications. Result: The postoperative pathologic results and postoperative complications than pose no significant difference ( P> 0. 05 ); The patients were generally better than the control group ( P<0. 05 ). Conclusion: Laparoscopic cholecystectomy gallbladder polypoid lesions with shorter operative time, less trauma, fewer complications and high security, etc. It is worthy of clinical application.%目的:探讨腹腔镜胆囊切除术治疗胆囊息肉样病变的临床效果及安全性.方法:65例胆囊息肉样病变患者,30例采用腹腔镜胆囊切除术治疗(观察组)和35例采用传统开腹治疗(对照组),比较二者手术时间、术中出血量、术后排气时间、抗生素应用时间、术后住院时间及并发症等.结果:两组患者术后病理结果构成比及术后并发症发生率无显著性差异(P>0.05);观察组患者一般情况均优于对照组(P<0.05).结论:腹腔镜胆囊切除术治疗胆囊息肉样病变具有手术时间短、创伤小、术后并发症少及安全性高等优点,值得临床推广应用.