标题：两孔法腹腔镜胆囊切除术与传统四孔法胆囊切除术的近期疗效对比研究

      作者：陈云端，佘 勇，何修林
    (仁怀市人民医院普外科，贵州 仁怀 564550)

      卷次： 2013年24卷14期

      【摘要】 目的 比较两孔法腹腔镜胆囊切除术与传统四孔法胆囊切除术治疗结石性胆囊炎的近期疗效。
方法 选取我院86例结石性胆囊炎患者，采用随机数字表法将其分为两孔法腹腔镜胆囊切除术组(简称观察组)
和传统四孔法胆囊切除术组(简称对照组)，比较两组手术时间、切口长度、术中出血量、肛门排气时间、住院时间、
住院费用及切口感染情况；比较两组患者术后6 h、12 h、24 h疼痛程度。结果 观察组患者在手术切口长度上明
显短于对照组，差异具有统计学意义(P<0.05)；两组的手术时间、术中出血量、肛门排气时间、切口感染等差异均
无统计学意义(P>0.05)；对照组患者在术后12 h、24 h疼痛评分上明显高于观察组患者，差异具有统计学意义(P<
0.05)；两组患者在术后6 h疼痛评分上差异无统计学意义(P>0.05)。结论 对于传统四孔法胆囊切除术，两孔法
腹腔镜胆囊切除术在治疗结石性胆囊炎上有术后疼痛轻、切口短等优点，值得临床推广。

      【关键词】 腹腔镜; 两孔法；四孔法；疗效

      【中图分类号】 R657.4 【文献标识码】 A 【文章编号】 1003—6350（2013）14—2066—03


Comparative study of the short-term effects of two-port and four-port laparoscopic cholecystectomy.
CHEN
Yun-duan, SHE Yong, HE Xiu-lin. Department of General Surgery, the People's Hospital of Renhuai city, Renhuai
564550, Guizhou, CHINA

【Abstract】 Objective To compare and analyze the short-term effects of two-port laparoscopic cholecystecto-
my and four-port laparoscopic cholecystectomy. Methods Eighty-six patients who had calculous cholecystitis
were selected in our hospital and randomly divided into the observation group (treated by two-port laparoscopic
cholecystectomy) and the control group (treated by four-port laparoscopic cholecystectomy). The operation dura-
tion, length of the cut, bleeding amount, anus exhausting time, length of hospital stay, hospitalization costs, and in-
cision infection were compared between the two groups. Results In the observation group, the length of the cut
was significantly shorter than that of the control group (P<0.05). The operation duration, bleeding amount, anus
exhausting time, and incision infection showed no statistically significant difference between the two groups (P>
0.05). The pain score 12 h, 24 h after operation in the observation group were significantly lower than those in the
control group (P<0.05), while the pain score 6 h after operation showed no statistically significant difference be-
tween the two groups (P>0.05). Conclusion Two-port laparoscopic cholecystectomy is safe and feasible with a
higher patient satisfaction score and lighter postoperative pain, compared with conventional four-port laparoscopic
cholecystectomy.

      【Key words】 Laparoscopic cholecystectomy; Two-port; Four-port; Effect