腹腔镜微创手术治疗胆囊结石的临床疗效及其对预后的影响分析

摘要

目的 分析比较腹腔镜微创手术与传统开腹手术治疗胆囊结石的疗效及其对预后的影响.方法 选取2014年12月～ 2015年12月于我院就诊的胆囊结石患者110例,按照随机数表法,将患者随机分为观察组和对照组,每组各55例.两组患者均行手术治疗,对照组患者采用传统开腹手术,观察组患者采用腹腔镜微创手术.比较两组患者手术成功率、手术临床指标、术后不良反应及术后恢复情况.结果 观察组成功率为100％,对照组成功率为92.73％,差异具有统计学意义(P＜0.05).观察组切口长度、术中出血两、手术时间分别为(3.21-0.22)cm、(30.55±8.79) mL、(36.66±7.96) min,对照组为(10.54-3.47)cm、(76.41±13.99)mL、(49.21±7.23) min,差异具有统计学意义(P＜0.05).观察组不良反应总发生率为4.44％,对照组为24.44％,两组间差异显著,具有统计学意义(P＜0.05).观察组肠鸣音恢复用时、术后下床时间和使用止痛药比例分别为(23.13±4.41)h、(23.61±9.33)h、14.55％,对照组为(44.23±8.56)h、(48.11±11.23)h、34.55％,两者间差异显著(P＜0.05).结论 相较于传统开腹手术,腹腔镜微创手术具有更好的临床疗效,更有益于患者术后恢复,值得在临床上推广采用.%Objective Analysis and comparison of laparoscopic minimally invasive surgery and traditional open surgery in the treatment of gallbladder stones and its effect on the prognosis.Methods 110 cases of gallbladder stones in our hospital from December 2015 to December 2014 were selected.According to the random number table method,the patients were randomly divided into observation group and control group(n =55).Two groups of patients were treated with surgery.The control group were treated with traditional open surgery.The observation group were treated with laparoscopic minimally invasive surgery.The operation success rate,clinical index,postoperative adverse reaction and postoperative recovery of the two groups were compared.Results The success rate of observation group was 100％,the control group was 92.73％.The difference was statistically significant (P ＜ 0.05).The incision length,bleeding,operation time of observation group were (3.21 ± 0.22) cm,(30.55 ± 8.79) mL,(36.66 + 7.96) min.The control group were (10.54 ± 3.47) cm,(76.41 ± 13.99) mL,(49.21 + 7.23) min.The difference was statistically significant (P ＜ 0.05).The incidence rate of adverse reactions of the observation group was 4.44％,and the control group was 24.44％.The difference was statistically significant (P ＜ 0.05).Time for bowel sounds recovery,time for getting out of bed postoperative and use of analgesics ratio of the observation group were (23.13 ± 4.41) h,(23.61 ± 9.33) h,14.55％.The control group was (44.23 ± 8.56) h、(48.11 ± 11.23) h、34.55 ％,the difference was statistically significant (P ＜ 0.05).Conclusions Laparoscopic minimally invasive surgery has a better clinical effect,and is more beneficial to patients with postoperative recovery,it is worth to be popularized in clinical practice.