摘要
目的 :对比分析应用开腹手术与腹腔镜手术治疗结石性胆囊炎的临床疗效。方法 :选取2011年12月~2013年12月间我院收治的结石性胆囊炎患者94例作为研究对象,采用随机数字表法将其分为对照组(47例)和治疗组(47例),为对照组患者实施开腹胆囊切除手术,为治疗组患者实施腹腔镜胆囊切除手术,观察对比两组患者的临床疗效,并将对比的结果及两组患者的临床资料进行回顾性的分析。结果 :治疗组患者的手术时间为(52.3±8.7)min,疼痛症状的消失时间为(38.1±3.4)h,术毕至下床活动的时间为(14.5±4.2)h;对照组患者的手术时间为(82.9±12.6)min,疼痛症状的消失时间为(79.6±9.0)h,术毕至下床活动的时间为(27.6±9.5)h。治疗组患者的各项手术指标均明显优于对照组患者,差异显著(P<0.05),具有统计学意义。治疗组患者术后并发症的发生率为8.5%,对照组患者术后并发症的发生率为31.9%,治疗组患者术后并发症的发生率明显低于对照组患者,差异显著(P<0.05),具有统计学意义。结论 :应用腹腔镜胆囊切除手术治疗结石性胆囊炎的临床疗效显著,值得在临床上推广应用。
Objective: To open and laparoscopic gallbladder surgery clinical treatment of patients with cholecystitis were discussed. Methods: Our hospital in December 2011 - December 2013 were treated 94 cases of cholecystitis patients were divided into treatment group (47 cases) and control group (47 cases) were treated with laparoscopic surgery and open cholecystectomy resection. Results: The patients treated with operative time, postoperative pain, time and bed time are shorter than the control group (p <0.05); complication rate in patients treated group than the control group (p <0.05). Conclusion: The treatment cholecystitis patients to take laparoscopic cholecystectomy, the overall effect is good.
