保胆取石术与胆囊切除术的临床疗效对比研究
荥阳市人民医院, 急诊科, 河南郑州 450100
| 摘 要： | 近年来，随着人们饮食结构的改变，胆囊结石的发病率逐渐上升。胆囊结石作为一种常见的临床疾病，常见的临床治疗方法有保单取石和胆囊切除。目的：对比胆囊结石治疗中保胆取石术与胆囊切除术的临床疗效。方法：将我院72例胆囊结石患者分为保胆取石组和胆囊切除组，各36例，对两组患者的手术情况、治疗效果进行统计分析，并对两组患者开展6个月的术后随访。结果：保胆取石组手术时间、术后住院时间、术后肠蠕动恢复时间、饮食恢复时间均短于胆囊切除组，保胆取石组相比胆囊切除组，并发症率低、住院费用高，差异均具有统计学意义（P<0.05），两组随访期间胆囊切除组B超复查正常，保胆取石组结石复发4例（11.1%）。结论：保胆取石术与胆囊切除术在胆囊结石治疗过程中各有特点，临床效果良好，需要根据胆囊结石患者自身情况、个人意愿恰当选择。 |
| 关 键 词： | 胆囊结石; 保胆取石; 胆囊切除; 治疗; 疗效 |
| DOI： | 10.57237/j.wjcm.2022.01.002 |
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收稿日期: 2022-09-22
接受日期: 2022-10-28
在线出版日期: 2022-11-01
Comparative Study on the Clinical Efficacy of Gallstone Preservation and Cholecystectomy
Emergency Department, Xingyang People's Hospital, Zhengzhou 450100, China
| Abstract: | In recent years, with the change of people's diet structure, the incidence of gallbladder stones has increased gradually. Gallbladder stones is a common clinical disease, the common clinical treatment methods are gallstone preservation and cholecystectomy. Objective: To compare the clinical effects of gallbladder stone removal and cholecystectomy in the treatment of gallbladder stones. Methods: The 72 patients with gallbladder stones in our hospital were divided into the gallstone preservation group and the cholecystectomy group, 36 cases in each group. The surgical conditions and treatment effects of the two groups were statistically analyzed, and the two groups of patients were followed up for 6 months. Results: The operation time, postoperative hospital stay, postoperative bowel movement recovery time, and diet recovery time in the gallstone preservation group were shorter than those in the cholecystectomy group. Compared with the cholecystectomy group, the gallstone preservation group had lower complication rate and higher hospitalization costs, and the difference was statistically significant (P<0.05). During the follow-up period of the two groups, the B-ultrasound in the cholecystectomy group was normal, and 4 cases (11.1%) in the gallstone preservation group had recurrence of stones. Conclusion: Gallstone preservation and cholecystectomy have their own characteristics in the treatment of gallbladder stones and have good clinical effects. They need to be appropriately selected according to their own conditions and personal wishes in patients with gallbladder stones. |
| Keywords: | Gallbladder Stones; Gallstone Preservation; Cholecystectomy; Treatment; Clinical Efficacy |
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