腹腔镜与开腹胆囊切除术治疗急性胆囊炎临床分析

The clinical analysis of treating acute cholecystitis by using the laparcscopic cholecystectomy and open cholecystectomy

目的对比观察腹腔镜与开腹胆囊切除术治疗急性胆囊炎的临床疗效。方法将91例急性胆囊炎患者随机分为2组,分别行腹腔镜胆囊切除术(LC)和开腹胆囊切除术(OC),观察两组术中及术后情况。结果两组病例的术中出血量、手术时间及置引流例数等比较差异均有统计学意义(P<0.01);两组术后排气时间、开始下床活动时间、住院时间、用止痛药及切口感染例数等比较差异也有统计学意义(P<0.01),LC组均优于OC组。结论与OC相比,LC治疗急性胆囊炎具有创伤小、并发症少和恢复快等优点。

Objective To comparatively observe the clinical effect of treating acute cholecystitis by using the laparcscopic cholecystectomy（LC） and open cholecystectomy（OC）. Methods 91 cases with acute cholecystitis were divided randomly into two groups which were treated with LC and OC respectively. Condition during and after operation were observed in the two groups. Results There was statistical significance in comparing the differences of bleeding quantity during operation, operating time and cases of abdominal cavity draining between the two groups （ P 〈 0.01 ）. There was also statistical significance in comparing the differences of the exsufflation time, the out-of-bed time, the length of stay and the cases of using antalgesic and incision infection between the two groups（ P 〈0.01 ）. The LC group was obviously better than the OC group in the above aspects. Conclusion In comparison with OC, LC has the merits of small trauma, few complications and quick recovery.