论文部分内容阅读
[目的]分析Rouviere沟引导定位腹腔镜胆囊切除术(LC)与传统定位LC手术的效果.[方法]选择2015年4月至2016年4月于我院行腹腔镜胆囊切除术患者108例,将其随机分为对照组和观察组,每组各54例,对照组予以传统定位,观察组予以Rouviere沟引导定位,比较两组治疗后肝功能[总胆红素(TBIL)、谷草转氨酶(AST)、谷丙转氨酶(ALT)],手术时间和并发症率.[结果]术前两组患者肝功能指标TBIL、AST、ALT比较,差异无统计学意义(P>0.05);经LC术后,两组血清TBIL、AST、ALT水平均高于术前,观察组低于对照组,差异均具有统计学意义(均P<0.05).对照组手术时间(67.54±7.42)min显著高于观察组(47.38±5.69)min,差异具有统计学意义(P<0.05).对照组胆漏、胆管损伤各有4例,并发症发生率为14.82%(8/54);观察组有2例胆漏,其并发症发生率为3.70%(2/54),两组比较差异具有统计学意义(P0.05);Af-ter cholecystectomy, the serum TBIL, AST, ALT levels in the two groups were higher than those before operative , the observation group was lower than that in the control group, the difference was statistically significant ( P<0.05) . The operation time of the control group (67.54 ± 7.42) min was significantly higher than that of the observation group (47.38±5.69)min, the difference was statistically significant ( P<0.05). There were 4 cases of bile leakage and bile duct injury in the control group, the complication rate was 14.82% (8/54); The observation group had 2 cases of bile leakage, the incidence of complications was 3.70% (2/54), the difference between the two groups was statisti-cally significant ( P<0.05).[Conclusion]The clinical effect of Rouviere groove guided positioning in laparoscopic cholecystectomy is superior to the conventional positioning operation.