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目的:比较腹腔镜胆囊切除术(LC)与小切口胆囊切除术(MC)治疗2型糖尿病患者胆囊结石的疗效。方法:收集2010年6月—2012年6月符合研究条件的患者82例临床资料,随机将患者分为LC组(40例)与MC组(42例),采用回顾性分析方法对两组的手术时间、术中出血量、术后疼痛评估、胃肠道功能恢复时间、术后住院天数、术后血糖控制情况及术后并发症发生率等情况进行对比。结果:两组患者术前情况、术中出血量、肠功能恢复时间、住院时间等无统计学差异(P>0.05)。与MC组相比,LC组术后疼痛评估、手术时间、术后并发症、血糖变化等有统计学差异(P<0.05)。结论:MC和LC皆有创伤小、恢复早的特点,两种术式均能取得相近的临床效果,但LC术后血糖控制满意,手术时间短、术后疼痛轻、并发症少,是治疗糖尿病合并胆囊结石的理想术式。
Objective: To compare the efficacy of laparoscopic cholecystectomy (LC) and small incision cholecystectomy (MC) in the treatment of gallstone in type 2 diabetic patients. Methods: The clinical data of 82 patients who met the research conditions were collected from June 2010 to June 2012. The patients were randomly divided into LC group (40 cases) and MC group (42 cases). The clinical data of two groups were retrospectively analyzed Operative time, intraoperative blood loss, postoperative pain assessment, gastrointestinal function recovery time, postoperative hospital stay, postoperative blood glucose control and postoperative complications were compared. Results: There was no significant difference between the two groups in preoperative status, blood loss, intestinal function recovery time and hospitalization time (P> 0.05). Compared with MC group, LC group postoperative pain evaluation, operation time, postoperative complications, blood glucose changes were statistically significant (P <0.05). Conclusion: Both MC and LC have the characteristics of small trauma and early recovery. Both of the two procedures can achieve similar clinical results. However, the control of blood glucose after LC is satisfactory, the operation time is short, the postoperative pain is light and the complication is less, which is the treatment Diabetes combined gallbladder stones ideal surgery.