Transumbilical single-port versus three-port laparoscopic cholecystectomy for cholecystolithiasis patients
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摘要:目的 分析经脐单孔与三孔法腹腔镜胆囊切除术临床疗效。方法 将本院收治的60例行胆囊切除术患者随机分为对照组和研究组。对照组患者给予传统腹腔镜胆囊切除术，研究组给予经脐单孔腹腔镜胆囊切除术，比较分析2组患者治疗效果。结果 给予不同手术治疗后，研究组术中出血量、术后住院时间、肠胃功能恢复时间显著优于对照组，手术时间显著长于对照组(P < 0.05); 2组患者术后镇痛率有显著差异(P < 0.05); 研究组切口美观评分和疼痛评分显著优于对照组(P < 0.05)。结论 与三孔法腹腔镜胆囊切除术比较，胆囊结石患者经脐单孔腹腔镜胆囊切除术操作安全性及患者满意度高，且能够缓解术后疼痛。
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关键词:
- 经脐单孔腹腔镜胆囊切除术 /
- 三孔法腹腔镜胆囊切除术 /
- 术中出血量
Abstract:Objective To investigate the clinical effect of transumbilical single-port versus three-port laparoscopic cholecystectomy for cholecystolithiasis patients.Methods A total of 60 patients who underwent cholecystectomy in our hospital were randomly divided into control group and research group. The control group was given traditional laparoscopic cholecystectomy, and the research group was given transumbilical single-port laparoscopic cholecystectomy. The therapeutic effects of the two groups were compared and analyzed.Results After different surgical treatments, the study group has significantly better results in intraoperative bleeding volume, postoperative hospital stay and recovery time of gastrointestinal function than the control group, and longer operation time than that of the control group (P < 0.05); the analgesic rates of the two groups showed significant differences between the two groups (P < 0.05). The scores of incision aesthetics and pain in the study group was significantly better than that in the control group (P < 0.05).Conclusion Compared with three-port laparoscopic cholecystectomy, transumbilical single-port laparoscopic cholecystectomy for cholecystolithiasis patients has higher operational safety and satisfaction, and can relieve postoperative pain. -
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表 1 2组患者手术指标比较(x±s)
组别 n 手术时间/min 术中出血量/mL 住院时间/d 肠胃功能恢复时间/h 研究组 30 46.2±25.5* 18.4±3.4* 2.2±0.5* 21.4±1.2* 对照组 30 31.4±16.7 21.3±5.1 4.4±1.0 25.1±4.2 与对照组比较, *P < 0.05。 
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表 2 2组患者术后切口美观评分和疼痛评分比较(x±s)
分 组别 n 术后切口美观评分 VAS疼痛评分 术后6 h 术后24 h 研究组 30 4.7±0.2* 5.6±1.0* 3.5±0.7* 对照组 30 3.8±0.6 7.1±1.5 5.4±1.1 VAS: 视觉模拟评分量表。与对照组比较, *P < 0.05。
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