摘要
目的研究顺逆结合法LC术治疗急性结石性胆囊炎的临床效果。方法选取2012年6月~2014年6月在我院外科进行急诊治疗的94例急性结石性胆囊炎患者,按照抽签法将其分为对照组和观察组,每组47例。对照组采用传统开腹手术,观察组采用顺逆结合法LC术,对两组患者的临床诊治情况以及效果进行分析和比较。结果观察组的临床治疗总有效率为97.87%,显著高于对照组的85.11%（P〈0.05）。观察组的手术切口长度、手术时间、术中出血量、排气时间、拔管时间、胃肠功能恢复时间、住院时间显著短于对照组,VAS分值低于对照组（P〈0.05）。观察组的并发症发生率为0%,显著低于对照组的12.77%（P〈0.05）。观察组对治疗效果的满意度为95.74%,显著高于对照组的和82.98%（P〈0.05）。结论采用顺逆结合法LC术对急性结石性胆囊炎患者进行临床诊治的效果显著,其具有创伤小、出血少、恢复快、并发症少的优点,能有效提高临床治疗效果,改善医患关系,是一种科学、有效、理想、安全的临床治疗方法。
Objective To study the clinical effect of order method combined with retrograde method of laparoscopic cholecystectomy（LC） in treatment of acute calculus cholecystitis. Methods 94 patients with acute calculus cholecystitis in our hospital surgical emergency from June 2012 to June 2014 were selected.They were divided into control group and observation group by the envelope method,and each group was 47 cases.The control group ws treated with traditional open surgery,and observation group was given order method combination with retrograde method of LC.Clinical treatment situation and effect was analyzed and compared between two groups. Results Total effective rate in observation group was 97.87%,which was significantly higher than 85.11% of control group（P0.05）.The length of the incision,operation time,intraoperative blood loss,exhaust time,extubation time,gastrointestinal function recovery time and hospital stay in observation group were significantly shorter than those of control group,the score of VAS was lower than that of control group（P0.05）.The complication incidence rate in observation group was 0%,which was lower than 12.77% of control group（P0.05）.The satisfaction in observation group was 95.74%,which was significantly higher than 85.11% of control group（P 0.05）. Conclusion The clinical effect is obvious by using order method combined with retrograde method of LC in treatment of acute calculus cholecystitis.It has small trauma,less bleeding,faster recovery,the advantages of less complications,and can effectively enhance the clinical therapy effect,improve the relationship between doctors and patients.It is a clinical therapy method with scientific,effective,ideal and safety.
出处
《中国当代医药》
2015年第28期18-20,共3页
China Modern Medicine
关键词
急性结石性胆囊炎
LC术
顺逆结合法
临床疗效
Acute calculus cholecystitis
Laparoscopic cholecystectomy
Order method combined with retrograde method
Clinical effect
