腹腔镜胆囊切除术与保胆取石术治疗胆囊结石的比较研究

摘要

Objective:To analyze laparoscopiccholecystectomy and mini-cholecystolithotomy in treatment of cholecystolithiasis significance. Method:In the treatment of 139 gallbladder stones patients were selected in our hospital from May 2010 to May 2011.The control group was treated with laparoscopic cholecystectomy;the observation group was treated with combined laparoscopic and choledochoscopic mini-cholecystolithotomy.The operation condition of the two groups were observed.Result:Laparoscopic and choledochoscopic cholecystolithotomy operation postoperative patients recovered well,the average amount of bleeding,postoperative exhaust time during operation and hospitalization time were(15.8±6.6)mL,(10.3±4.3) h and(3.2±1.8)d,and postoperative analgesic use was 11.4%,and the postoperative complication rate of the observation group was 20.0%(14/70), laparoscopic cholecystectomy operation were significantly higher than those in the control group,there were statistically significant differences(P<0.05). Conclusion:Compared with laparoscopic cholecystectomy,laparoscopic and choledochoscopic cholecystolithotomy operation has small operation wound, fast recovery,complication rate is low,it has important clinical value.%目的：分析腹腔镜胆囊切除术与保胆取石术治疗胆囊结石的意义。方法：选取2010年5月-2011年5月本院治疗的139例胆囊结石患者，根据手术方法不同将其分为对照组69例和观察组70例。对照组采用腹腔镜胆囊切除术；观察组采用腹腔镜与胆道镜联合行保胆取石术。观察两组手术情况。结果：腹腔镜与胆道镜联合保胆取石手术组术后患者均恢复良好，术中平均出血量、术后排气时间及住院时间分别为（15.8±6.6）mL，（10.3±4.3）h及（3.2±1.8）d，而术后止痛剂使用率为11.4%，且术后观察组并发症发生率为20.0%（14/70），均明显优于采用腹腔镜胆囊切除手术的对照组，比较差异均有统计学意义（P<0.05）。结论：与腹腔镜胆囊切除术相比，腹腔镜与胆道镜联合保胆取石术有手术创伤小、组织恢复快、并发症发生率低等优点，有重要的临床价值。