摘要
目的比较常规器械经脐单孔腹腔镜与传统腹腔镜胆囊切除术治疗急性胆囊炎患者的疗效。方法选取2016年4月至2017年4月收治的发病病程在72 h内的急性胆囊炎患者60例,完全随机分为试验组和对照组,各30例。试验组行常规器械经脐单孔腹腔镜胆囊切除术,对照组行传统腹腔镜切除术,比较两组手术时间、术中出血量、术后并发症发生率、术后疼痛情况、手术费用和切口美观效果。结果试验组手术费用,住院时间,术后第1,2,3天疼痛评分以及并发症发生率均低于对照组,切口美观满意度高于对照组,差异均有统计学意义(P<0.05)。两组手术时间和术中出血量比较,差异无统计学意义(P>0.05)。结论常规器械经脐单孔腹腔镜胆囊切除术治疗急性胆囊炎具有创伤小、切口瘢痕小、美观、术后疼痛低等特点,且并发症少,安全可行。
Objective To contrast the curative effect of acute cholecystitis between conventional laparoscopic and transumbilical single-site laparoscopy.Methods Selected from April2016to April2017vis its during the period of60in line with the diagnos tic criteria of acute cholecystitis patients as the research.The trans-umbilical single site laparoscopic treatments were treatment group(n=30)and the conventional laparoscopic treatments were control group(n=30).Two groups were compared in the operation time,intraoperative blood loss,postoperative complications,postoperative incision pain,beautiful effect,such as operation cost differences.Results There was no statistically significant difference between the treatment and the control group including intraoperative blood loss,operation time and the time of off-bed activities(P>0.05).And there was statistically significant difference among postoperative complications,postoperative pain,incision scars and surgery cost(P<0.05).Conclusion The trans-umbilical single site laparoscopic cholecystectomy for acute cholecystitis with smaller trauma,smaller incision scar and more beautiful has significantly less postoperative pain and fewer complications than the control group.It is not only safe and feasible,but worth clinical promotion.
作者
巴雅尔
Ba Ya er(Department of General Surgery, Fengcheng Hospital of Fengxian District, Shanghai 201411, China)
出处
《医疗装备》
2017年第23期5-6,共2页
Medical Equipment
关键词
单孔腹腔镜
胆囊切除术
急性胆囊炎
Single Site Laparoscopic
Cholecystectomy
Acute Cholecystitis
