急性胆囊炎腹腔镜与开腹手术的对比分析

Treatment of acute cholecystitis by laparoscopic cholecystectomy and open cholecystectomy

目的对比分析急性胆囊炎腹腔镜与开腹手术的临床疗效。方法回顾性分析2001年至2008年急性胆囊炎或慢性胆囊炎急性发作行胆囊切除术病例200例,其中行腹腔镜胆囊切除术(LC)67例,开腹胆囊切除术(OC)133例。结果LC组的术中出血量、手术时间、下床活动时间、肠道功能恢复时间、住院时间明显低于OC组(P<0.05);两组术后并发症发生率无明显差异(P>0.05)。结论LC治疗急性胆囊炎的临床效果优于OC。

Objective To compare the clinical effects of laparoscopic cholecystectomy（LC） and open cholecystectomy（OC） in the treatment of acute cholecystitis.Methods A total of 200 patients were treated for cholecystitis by LC（67） and OC（133） from 2001 to 2008.Data was analyzed retrospectively by including the perioperative conditions,postoperative recovery and complications.Results According to the operation time,bleeding amount,intestine function recovery time,bleeding time and hospitalization time the patients in LC group were significantly in a better condition than the OC group（P〈 0.05）.Postoperative complications had no significant difference between the LC and the OC group.Conclusion LC has better clinical and therapeutic outcome than OC in the treatment of acute cholecystitis.