腹腔镜胆囊切除术中出血量与术后并发症的研究
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  • 英文篇名:Study on intraoperative blood loss and postoperative complications in patients undergoing laparoscopic cholecystectomy for gallstones
  • 作者:杨立安 ; 冯伟
  • 英文作者:YANG Li-an;FENG Wei;The Second People's of Shanxi;
  • 关键词:腹腔镜下胆囊切除术 ; 胆囊结石 ; 术中出血量 ; 并发症
  • 英文关键词:laparoscopic cholecystectomy;;gallstones;;intraoperative blood loss;;complications
  • 中文刊名:GDWZ
  • 英文刊名:Journal of Hepatobiliary Surgery
  • 机构:陕西省第二人民医院肝胆普外科;
  • 出版日期:2018-10-31
  • 出版单位:肝胆外科杂志
  • 年:2018
  • 期:v.26
  • 语种:中文;
  • 页:GDWZ201805015
  • 页数:4
  • CN:05
  • ISSN:34-1143/R
  • 分类号:60-63
摘要
目的探讨腹腔镜下胆囊切除术治疗胆囊结石患者的术中出血量与术后并发症发生情况。方法选取2015年11月~2017年12月就诊于本院的胆囊结石患者共89例作为研究对象,采用随机数表法将其分为实验组(44例)和对照组(45例),对照组患者采用小切口胆囊切除术治疗,实验组采用腹腔镜下胆囊切除术治疗,比较两组治疗效果,分析不同手术方法对患者术中出血量、术后并发症的影响。结果实验组手术时间、痊愈出院时间、术后排气时间均明显短于对照组,数据比差异显著(P <0. 05);实验组术中出血量也明显少于对照组,数据比较差异显著(P <0. 05);两组治疗总有效率比较,实验组明显高于对照组,数据比较差异显著(P <0. 05);实验组患者术后发生出血、感染、胆漏、胆管受损等并发症概率明显低于对照组,数据比较差异显著(P <0. 05)。结论腹腔镜下胆囊切除术治疗胆囊结石效果显著,能明显缩短患者手术时间和住院时间,减少术中出血量,降低术后并发症发生率,安全性高,具有推广价值。
        Objective To investigate the intraoperative blood loss and postoperative complications of laparoscopic cholecystectomy in patients with gallstones. Methods 89 cases of cholecystolithiasis patients who were diagnosed in our hospital from November2015 to December 2017 were selected as the subjects. The random number table was used to divide them into experimental group( 44 cases) and control group( 45 cases). The control group was treated with small incision cholecystectomy,and the experimental group was treated by laparoscopic cholecystectomy. The effects of different surgical methods on blood volume and postoperative complications were analyzed. Result The operation time,recovery time and postoperative exhaust time of the experimental group were significantly shorter than the control group,and the data were significantly different( P < 0. 05). The amount of bleeding in the experimental group was also significantly lower than that of the control group,and the data were significantly different( P < 0. 05); The total effective rate of the two groups was significantly higher than that of the control group,and the data were significantly different( P < 0. 05). The probability of complications such as bleeding,infection,bile leakage and bile duct injury in the experimental group was significantly lower than that in the control group,and the data were significantly different( P < 0. 05). Conclusion Laparoscopic cholecystectomy is effective in the treatment of gallbladder stones. It can significantly shorten the operation time and hospitalization time,reduce the amount of intraoperative blood loss,reduce the incidence of postoperative complications,and has high safety.
引文
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