目的：探讨腹腔镜微创治疗肝胆结石的效果。方法将70例肝胆结石患者随机分为观察组与对照组2组，每组35例。观察组实施腹腔镜下微创手术治疗，对照组实施传统开放手术治疗，对比2组的手术情况、术后康复情况及并发发生情况。结果观察组术中出血量显著少于对照组，且手术时间、术后肛门排气时间以及住院时间均较对照组显著缩短，比较差异均有统计学意义（P <0.05）；观察组需使用镇痛剂例数及结石残留率均显著低于对照组，比较差异均有统计学意义（ P <0.05）。结论腹腔镜微创治疗肝胆结石创伤小、疗效确切、术后恢复快且并发症少，是一种较为安全可靠的手术方式，值得在临床中推广应用。%Objective To evaluate the clinical efficacy of laparoscopic minimally invasive treatment of liver gallstones. Methods To-tally 70 cases of liver gallstones in our hospital were randomly divided into observation group and control group,35 cases in each group. The ob-servation group underwent laparoscopic minimally invasive surgery,the control group underwent traditional open surgery. the surgery,postopera-tive rehabilitation and the concurrent occurrence of the two groups were compared. Results The blood loss of observation group was significantly less than that of the control group,the operative time,postoperative anal exhaust time and hospital stay was significantly shorter than that of the control group(P < 0. 05);The total effective rate of observation group was 100. 00% ,significantly higher than 85. 71% in the control group(P < 0. 05);The pain and residual stone rate of the observation group was 5. 71% ,0. 00% ,significantly lower than the 34. 29% ,14. 29% in the control group,(P < 0. 05). Conclusion The laparoscopic minimally invasive treatment of liver gallstones has small wounds,the exact effect,faster recovery and less postoperative complications,it is a relatively safe surgical approach which should be promoted in clinical applica-tions.
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