60例腹腔镜胆囊切除术的临床治疗体会.docVIP

精品论文 参考文献 60例腹腔镜胆囊切除术的临床治疗体会 湖南省怀化市溆浦县低庄镇中心卫生院 419306 摘要：目的：对患有胆囊疾病的患者进行腹腔镜胆囊切除手术，对临床治疗体会进行深入的探讨。方法：选取我院在2012年10月——2015年3月期间所接收的60例胆囊疾病患者作为实验组，对其进行腹腔镜胆囊切除手术，同时选择60例同时期进行传统开腹手术的患者作为对照组，对两组患者的手术持续时间、术中出血量、术后康复时间、手术成功率以及术后并发症等情况进行对比分析。结果：进行腹腔镜胆囊切除手术患者的手术持续时间为（47.1plusmn;13.4）min，明显低于对照组的（70.8plusmn;12.6）min；对照组患者的术中出血量为（286.7plusmn;27.6）ml，明显高于实验组的（172.2plusmn;17.3）h；实验组的手术成功率为100％，明显高于对照组的88.33％，差异具有统计学意义（P＜0.05）；另外，进行腹腔镜胆囊切除手术患者的并发症发生率为13.33％，明显低于对照组的38.33％，差异具有统计学意义（P＜0.05）。结论：对胆囊患者进行腹腔镜胆囊切除手术，且手段的手术成功率较高，且对患者造成的损伤较小，减少了并发症的发生率，在临床治疗中具有十分重要的现实意义，值得实现进一步的广泛应用。 关键词：腹腔镜；胆囊切除；治疗体会 Abstract：Objective：to patients with gallbladder disease undergoing laparoscopic gallbladder surgery， to the clinical treatment experience for further discussion.Selection methods：our hospital in October 2012 - March 2015 received during the period of 60 patients with gallbladder disease as experimental group， laparoscopic gallbladder surgery， at the same time， choose 60 cases with traditional laparotomy surgery patients as control group， the two groups of patients with surgical duration， intraoperative blood loss， postoperative recovery time， success rate of surgery and postoperative complications， and so on were analyzed.Results：the patients undergoing laparoscopic gallbladder surgery surgical duration（47.1plusmn;13.4）min， significantly lower than the control group（70.8plusmn;12.6 min）；Control group patients intraoperatie blood loss for ml（286.7plusmn;27.6）， significantly higher than that of the experimental group（172.2plusmn;17.3）h；Experimental operation success rate was 100%， significantly higher than the 88.33% in the control group， the difference statistically significant（P＜0.05）；In addition， patients undergoing laparoscopic gallbladder surgery complication rate was 13.33%， significantly lower than the control group， 38.33% of the difference is statistically significant（P lt; 0.05）.Conclusion：laparoscopic gallbladder excision surgery in patients with gallbladder， and means of surgical s