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1、三孔法腹腔镜胆囊切除术与传统开腹胆囊切除术的临床效果分析doi：10.3969/j.issn.1007-614x.2014.16.53摘要目的：探讨三孔法腹腔镜胆囊切除术与传统开腹胆囊切除术的临床疗效。方法：2013年1月-12月收治胆囊切除患者98例，按照术式的不同分为两组，观察组43例采用三孔法腹腔镜胆囊切除术，对照组55例采用传统开腹服囊切除术，比较两组术中、术后情况和并发症情况。结果：观察组手术切口平均1.84±0.14cm,手术时间平均69.53±3.62分钟,术中出血量平均35.16±15.11ml
2、,术后离床时间平均3.25±0.16小时,切口愈合时间平均5.28±1.34天,疼痛程度2.08±1,13分，住院时间平均2.34±0.14天，并发症率6.98%,均优于对照组，差异有统计学意义。结论：三孔法腹腔镜胆囊切除术用时少、切口短、出血量少、疼痛程度低、愈合快、并发症少,优丁传统开腹胆囊切除术,值得推广应用。关键词三孔法腹腔镜胆•囊切除术传统开腹胆囊切除术临床效果Analysisoftheclinicaleffectoflaparoscopiccholecystectomythreeholemethod
3、andconventionalcholecystectomyYanYulongTheThirdDepartmentofSurgery,thePeople'sHospitalofFeixiCounty,Anhui231200AbstractObjective:Toexploretheclinicaleffectoflaparoscopiccholecystectomythreeholemethodandconventiormlcholecystectomy.Methods:98caseswithcholecyst
4、ectomywereselectedfromJanuary2013toDecember2013・Theyweredividedintotwogroupsaccordingtothedifferentoperationstyle.43casesoftheobservationgroupweretreatedwithlaparoscopiccholecystectomythreeholemethod.55casesofthecontrolgroupweretreatedwithconventionalcholecy
5、stectomy.Theintranperativeconditions,postoperativeconditionsandcomplicationsoftwogroupswerecompared.Results：Theaverageoperationincisionoftheobservationgroupwas1.84±0.14cm.Theaverageoperationtimewas69.53+3.62minutes.Theaverageamountofbleedingwas35.16+15.11ml.
6、Theaveragepostoperativegettingoutofbedtimewas3.25+0.16hours・Theaveragewoundhealingtimewas5.28+1.34days.Thepaindegreewas2.08±1.13.Theaveragehospitalizationtimewas2.34±0.14days・Thecomplicationsratewas6.98%・Comparedwiththecontrolgroup.Theobservationgroupwasbett
7、erthanthecontrolgroup.Thedifferencewasstatisticallysignificant.Conclusion：Thelaparoscopiccholecystectomythreeholemethodhas1esstime,shortincision,lessbleeding,lesspain,fasterhealing,fewercomplications・Itissuperiortotheconventionalcholecystectomy.Itisworthyofp
8、opularizationandapplication.KeywordsLaparoscopiccholecystectomythreeholemethod；Conventionalcholecystectomy；Clinicaleffect胆囊切除术是治疗急性胆囊炎、胆囊难治性结石等疾病常见的外科手术，根据术式的选择，可分为腹腔镜胆囊切除术和传统开腹胆囊切除术，前者又可根据做切口的数
