摘要
目的分析急性结石性胆囊炎经腹腔镜胆囊切除术治疗的效果。方法回顾性分析2014年10月至2016年10月在我院就诊的160例急性结石性胆囊炎患者的临床资料。将160例患者根据不同术式分为两组,其中实施开腹胆囊切除术的80例患者为对照组,实施腹腔镜胆囊切除术的80例患者为观察组。统计分析两组患者的手术时间、术中出血量、肛门排气时间及住院时间,手术成功率及并发症发生情况。结果观察组患者的手术时间、肛门排气时间、住院时间均短于对照组,术中出血量少于对照组(P<0.05)。观察组患者手术成功78例(97.5%),其中2例患者中转开腹;对照组患者手术成功77例(96.3%),两组手术成功率比较,差异无统计学意义(P>0.05)。观察组患者的并发症总发生率为3.8%,对照组患者的并发症总发生率为12.5%,两组并发症总发生率比较,差异有统计学意义(P<0.05)。结论腹腔镜胆囊切除术治疗急性结石性胆囊炎,可缩短手术时间,减少术中出血量,减少并发症的发生,临床效果确切。
Objective To analyze the effect of laparoscopic cholecystectomy on acute calculous cholecystitis. Methods The clinical data of 160 cases of patients with acute calculous cholecystitis in our hospital from October 2014 to October 2016 were analyzed retrospectively. The 160 patients were divided into two groups according to different surgical procedures, the 80 patients who underwent open cholecystectomy were selected as the control group, and 80 patients who underwent laparoscopic cholecystectomy were selected as the observation group. The operation time, blood loss, anus exhaust time, hospitalization time, operation success rate and complications were compared between the two groups. Results The oper ation time, anal exhaust time and the length of stay in the observation group were shorter than those in the control group, and the amount of bleeding in the operation was less than that in the control group （P〈0.05）. The operation of the observa- tion group were successful in 78 cases （97.5%）, and 2 patients were converted to laparotomy; the operation of the control group was successful in 77 cases （96.3%）, and there was no significant difference in the operation success rate between the two groups （P〉0.05）. The complication rate of the observation group was 3.8%, and the complication rate of the control group was 12.5%, the difference between the two groups was statistically significant （P〈0.05）. Conclusion Laparoscopic cholecystectomy in the treatment of acute calculous cholecystitis can shorten the operation time, reduce the amount of bleeding during operation, and reduce the incidence of complications, and the clinical effect is accurate.
作者
王欣成
任兴宇
白海锋
WANG Xin-cheng REN Xing-yu BAI Hai-feng(Department of Surgery, the Third Hospital of Yulin （City Infectious Disease Hospital）, Yulin 719000, China)
出处
《临床医学研究与实践》
2017年第23期48-49,共2页
Clinical Research and Practice
