| 腹腔镜胆囊切除术与开放手术治疗胆囊结石临床疗效对比研究 |
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| 引用本文： | 铁晓瑾,杨淼,李廷新,张昆仑.腹腔镜胆囊切除术与开放手术治疗胆囊结石临床疗效对比研究[J].大理师专学报,2013(12):29-30,35. |
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| 作者姓名： | 铁晓瑾 杨淼 李廷新 张昆仑 |
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| 作者单位： | 宾川县中医医院,云南宾川671600 |
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| 摘 要： | 目的：探讨腹腔镜胆囊切除术与开放胆囊切除术治疗胆囊结石的临床疗效。方法：选择2010年1月至2013年7月收治的胆囊结石患者共90例作为研究对象，按照治疗方式将其分为腹腔镜胆囊切除术（LC）组和开腹胆囊切除术（OC）组，比较两组患者疗效。结果：LC组手术时间、术中出血量、抗生素使用时间、胃肠功能恢复时间以及住院时间等围手术期指标均明显优于OC组（P〈0．05）；LC组并发症发生率为0．1％，OC组并发症的发生率3％，LC组并发症的发生率明显低于OC组（P〈0．05）。结论：腹腔镜胆囊切除术治疗胆囊结石术中出血少，术后恢复快，住院时间短，是一种安全可靠的治疗方式。
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| 关 键 词： | 腹腔镜胆囊切除术 胆囊结石 开腹胆囊切除术 |
A Comparative Study of Laparoscopic Cholecystectomy and Open Surgery in the Treatment of Gallbladder Stones |
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| TIE Xiaojin,YANG Miao,LI Tingxin,ZHANG Kunlun.A Comparative Study of Laparoscopic Cholecystectomy and Open Surgery in the Treatment of Gallbladder Stones[J].Journal of Dali Teachers College,2013(12):29-30,35. |
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| Authors: | TIE Xiaojin YANG Miao LI Tingxin ZHANG Kunlun |
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| Institution: | (Chinese Traditional Medicine Hospital of Binchuan County, Binchuan, Yunnan 671600, China) |
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| Abstract: | Objective： To explore laparoscopic cholecystectomy and open cholecystectomy in treatment of gallstone. Methods： 90 cases of gallstone patients who were admitted to our hospital from January 2010 to July 2013 were selected as research objects. According to the ways of treatment they were divided into the laparoscopic cholecystectomy （LC for short） group and open choleeystectomy （the OC） groups, and then the efficacy of their treatments was compared. Results： LC group operation time, intraoperative blood loss, antibiotic use time, gastrointestinal function recovery time , hospital stay and perioperative indicators were significantly better than OC Group （P〈0.05）; LC group complication rate was 0.1%;the OC the incidence of complications was 3%; the incidence of complications of LC group was obviously lower than OC group （P〈0.05）. Conclusion： The advantages of Laparoscopic cholecystectomy in the treatment of gallstone are as follows： less bleeding, quick postoperative recovery, shorter hospital stay, which is a safe and reliable method of treatment. |
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| Keywords: | laparoscopie eholeeystectomy gallbladder stones open cholecystectomy |
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