胆囊切除术与内镜微创保胆取石术治疗胆囊结石的疗效和术后安全性比较

殷久伟

DOI：10.16662/j.cnki.1674-0742.2017.11.070

[摘要] 目的 研究胆囊结石患者行内镜微创保胆取石方案、胆囊切除方案治疗的有效性与安全性。方法 以2013年1月—2015年12月进入该院的胆囊结石患者作对象，并且从中随机抽取出100例进行该次研究工作，分作2组，50例参照组行胆囊切除方案治疗，而50例研究组则行内镜微创保胆取石方案治疗，对2组手术效果以及安全性指标等进行分析、对照。结果 参照组50例有效率60.00%（30/50），研究组50例是94.00%（47/50）（P<0.05）；研究组内并发症的发生率比参照组少（P<0.05）。结论 对于患有胆囊结石的患者，施以内镜微创保胆取石方案效果显著，不仅能提升患者取石效果，而且还能防止并发症出现，因此安全性高，可推广。

[關键词] 内镜微创保胆取石方案；胆囊结石；有效率；安全性

[中图分类号] R657 [文献标识码] A [文章编号] 1674-0742（2017）04（b）-0070-03

Comparison of Curative Effect and Postoperative Safety of Cholecystectomy and Endoscopic Minimally Invasive Cholecystolithotomy in Protecting Gallbladder in Treatment of Gallstone

YIN Jiu-wei

Department of General Surgery， Xiashu Health Center， Jurong， Jiangsu Province， 212400 China

[Abstract] Objective To research the effectiveness and safety of cholecystectomy and endoscopic minimally invasive cholecystolithotomy in protecting gallbladder in treatment of gallstone. Methods 100 cases of patients with gallstone treated in our hospital from January 2013 to December 2015 were selected and divided into two groups with 50 cases in each， the control group were treated with cholecystectomy， while the research group were treated with safety of cholecystectomy and endoscopic minimally invasive cholecystolithotomy， and the operation effect and safety of the two groups were analyzed and compared. Results In the control group， 50 cases were effective and the effective rate was 60.00%（30/50）， in the research group， 50 cases were effective and the effective rate was 94.00%（47/50）（P<0.05）， and the incidence rate of complications in the research group was lower than that in the control group（P<0.05）. Conclusion The effect of endoscopic minimally invasive cholecystolithotomy in protecting gallbladder in treatment of gallstone is obvious， which can not only improve the calculus removed effect but also prevent the occurrence of complications with high safety， which can be promoted.

[Key words] Endoscopic minimally invasive cholecystolithotomy； Gallstone； Effective rate； Safety

胆囊结石属于临床常见疾病的一种。近年来，基于内镜方案的微创保胆取石手术逐渐被应用到胆囊结石的治疗中，且效果显著[1]。为评价内镜微创保胆取石方案、胆囊切除方案应用于胆囊结石患者中的价值，该次筛选100例于2013年1月—2015年12月进入该院的胆囊结石患者100例，分组治疗的基础上，期待提升取石效果以及安全性，已取得显著成效，现报道如下。

1 资料与方法

1.1 一般资料

研究以进入该院的胆囊结石患者作对象，并且从中随机抽取出100例进行该次研究工作，分作2组，50例参照组行胆囊切除方案治疗，有女性40例及男性10例，26～72岁，中位值（47.7±2.66）岁。50例研究组行内镜微创保胆取石方案治疗，有女性41例及男性9例，25～70岁，中位值（49.9±3.21）岁，2组均在B超、CT等检查下被明确确诊，且两组临床资料对照，差异无统计学意义（P>0.05）。