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两种术式治疗胆结石患者的临床疗效比较 被引量:12

Comparison of curative effects of two kinds of operations in treating the patients with gallstones
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摘要 目的 :对比开腹胆囊切除术与腹腔镜胆囊切除术在胆结石患者中的临床价值。方法 :分析2014年11月~2016年9月在我院接受治疗的92例胆结石患者的临床资料。随机将入选者均分成观察组(腹腔镜下胆囊切除术,46例)和对照组(开腹胆囊切除术,46例)两组。比较两组患者的一般资料、手术效果及术后恢复情况、临床疗效及并发症发生情况。结果 :两组患者的一般资料无显著差异。观察组患者的手术效果及术后恢复情况明显好于对照组。观察组患者术后并发症发生率(13.0%)明显低于对照组(47.8%)。观察组患者的总有效率(100.0%)明显好于对照组(78.3%)。结论 :腹腔镜胆囊切除术治疗胆结石患者的手术效果较开腹术好,且术后恢复情况较为理想,安全性更高,值得推广。 Objective Our retrospective study was aimed to analyze the clinical value of open cholecystectomy and laparo-scopic cholecystectomy in treating the patients with gallstones. Methods Clinical data of 92 patients with gallstonesreceived treatment at our hospital from November, 2014 to September, 2016 was retrospectively analyzed. Patients included were divided into two groups at random, observe group (laparoscopic cholecystectomy, 46 cases) and control group (open cholecystectomy, 46 cases). The general information, operation results, postoperative recovery, curative effects and the complications occurrence in two groups were compared. Results The general information in two groups had no statistical difference. The operation results and postoperative recovery in observe group were better than those in control group. The incidence of complications in observe group (13.0%) was obviously lower than that in control group (47.8%). The total effective rate in observe group (100.0%) was obviously higher than that in control group (78.3%). Conclusion The operation results of laparoscopic cholecystectomy in treat-ing the patients with gallstones are better than those of open cholecystectomy, and the postoperative recovery is satisfactory. It has higher safety, which is worth promoting.
作者 傅宣 张路明
机构地区 西藏大学
出处 《湖南师范大学学报(医学版)》 2017年第4期-,共4页 Journal of Hunan Normal University(Medical Sciences)
关键词 胆结石 开腹胆囊切除术 腹腔镜胆囊切除术 gallstones open cholecystectomy laparoscopic cholecystectomy
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