腹腔镜胆囊切除术用于临床治疗急性胆囊炎的可行性分析

Feasibility Analysis of Laparoscopic Cholecystectomy for Clinical Treatment of Acute Cholecystitis

目的研究临床对于急性胆囊炎患者给予腹腔镜胆囊切除术进行治疗的可行性分析。方法将2019年1月至2019年12月在本科室接受治疗的急性胆囊炎患者50例纳入本次研究,所有患者按照1~50依次编号。奇数编号对应对照组,偶数编号对应观察组,每组25例。对照组患者给予常规开腹手术进行治疗;观察组患者接受腹腔镜胆囊切除术进行治疗;观察对比两组的患者手术治疗后情况。结果观察组患者的总有效率高于进行常规开腹手术的对照组患者,两组对比差异具有统计学意义(P<0.05);观察组患者的手术时间、手术中出血量、排气时间以及住院时间优于进行常规开腹手术对照组患者,两组对比差异具有统计学意义(P<0.05);观察组患者治疗后的C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)等炎症因子水平明显低于进行常规开腹手术的对照组患者,差异具有统计学意义(P<0.05);观察组患者的出血、胆囊损伤、肠粘连等并发症发生率低于进行常规开腹手术的对照组患者,两组对比差异具有统计学意义(P<0.05)。结论急性胆囊炎患者给予腹腔镜胆囊切除术进行治疗的效果十分显著,能够明显缩短患者治疗时间,缓解患者经济压力,并发症少,安全性高,依存性高,值得进一步推广。

Objective To study the clinical feasibility analysis of laparoscopic cholecystectomy for patients with acute cholecystitis.Methods Fifty cases of acute cholecystitis who were treated in the undergraduate room from January 2019 to December 2019 were included In this study,all patients were numbered sequentially from 1~50.The odd numbers correspond to the control group.The even numbers correspond to the observation group.Each group has 25 cases.The patients in the control group were treated with conventional open surgery.The patients in the observation group received laparoscopic cholecystectomy.The patients in the two groups were observed and compared after surgery.Results The total effective rate of the observation group was higher than that of the control group who underwent conventional open surgery,and the difference between the two groups was statistically significant(P<0.05).The operation time,bleeding volume,exhaust time and hospitalization time of the observation group were better than those of the control group undergoing conventional open surgery,and the difference between the two groups was statistically significant(P<0.05).The levels of C-reactive protein(CRP),tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)and other inflammatory factors in the observation group after treatment were significantly lower than those in the control group undergoing conventional open surgery.Statistically significant(P<0.05).The incidence of complications such as bleeding,gallbladder injury,and intestinal adhesions in the observation group was lower than that in the control group undergoing conventional open surgery,and the difference between the two groups was statistically significant(P<0.05).Conclusion The effect of laparoscopic cholecystectomy for patients with acute cholecystitis is very significant,which significantly shortens the treatment time of the patient,relieves the economic pressure of the patient,has fewer complications,high safety,and high dependence.It is worthy of further promotion.