传统三孔与经脐三孔腹腔镜胆囊切除术的临床对比研究.docx

传统三孔与经脐三孔腹腔镜胆囊切除术的临床对比研究.docx传统三孔与经脐三孔腹腔镜胆囊切除术的临床对比研究成都中医药大学附属医院四川成都610072摘要:目的评价经脐三孔腹腔镜胆囊切除术的临床价值。方法将60例胆囊结石患者随机分为A、B两组,每组30例。A组行传统三孔腹腔胆囊切除术,B组行经脐三孔腹腔镜胆囊切除术。比较两组患者的手术时间、术中出血量、术后肠功能恢复时间、术后疼痛评分、腹壁美容满意度评分等。结果两组患者手术时间、术中出血量、术后肠功能恢复时间、住院时间、住院费用均无统计学差异(P>)o术后切口疼痛评分、腹壁美容满意度评分比较差异有显著性,(P<,P<)o结论经脐三孔腹腔镜胆囊切除术安全可行,其腹壁美容效果更明显,患者满意度更高。关键词:经脐入路内镜手术;腹腔镜;parativestudyofconventionalandtransumbilicalthree-holecystectomyforCalculousCholecystitisLuoBo(TheAffiliatedHospitalofChengduUniversityofTraditionalChineseMedicine,Chengdu610072,Sichuan,China)[AbstractJObjectiveToevaluatetheclinicalvalueoftransumbilicalthree-,,-roupA;Transumbilicalthree-,intraoperativebloodloss,postoperativeintestinalfunctionrecoverytime,nauseaandvomitingrating,postoperativepainscore,,intraoperativebloodloss,postoperativeintestinalfunctionrecoverytime,,hospitalizationtime,hospitalizationcostswerenotstatisticallysignificant(p>).Thepostoperativeincisionpainscore,abdominalcosmeticsatisfactionscorewassignificantdiffereneebetweengroupAandgroupB,(p<,p<).ConelusionsTransumbilicalthree-holecystectomyisfeasibleandsafe,andpatientsweremoresatisfiedwithit[Keywords]TUES;laparoscopi