腹腔镜与开腹手术治疗慢性萎缩性胆囊炎的临床疗效比较

The Comparison of Clinical Effects of Chronic Atrophic Cholecystitis by Laparoscopic and Open Surgical Treatment

目的:探讨腹腔镜与开腹手术治疗慢性萎缩性胆囊炎的临床疗效差异。方法:回顾性分析我院近年来收治的90例慢性萎缩性胆囊炎患者的临床资料。结果:90例慢性萎缩性胆囊炎患者均完成手术治疗,无1例围术期死亡,采用腹腔镜手术的患者,无中转开腹病例,手术成功率为100.0%。而且,腹腔镜手术组45例患者手术时间、术中出血量、胃肠功能恢复时间及并发症发生情况明显小于开腹手术组,经统计学分析,有显著性差异,P<0.05,且发生并发症患者经对症处理均痊愈出院。结论:腹腔镜手术治疗慢性萎缩性胆囊炎的手术时间短、术中出血量少、胃肠功能恢复快、并发症的发生率低,更值得临床推广使用。

Objective：To evaluate the laparoscopic and open surgical treatment of chronic atrophic cholecystitis differences in clinical efficacy.Methods：A retrospective analysis of 90 cases admitted to hospital in recent years,chronic atrophic cholecystitis clinical data.Results：90 cases of chronic atrophic cholecystitis patients completed the treatment,with no perioperative death in patients with laparoscopic surgery,no cases of conversion to open surgical success rate was 100.0%.Furthermore,laparoscopic surgery group of 45 patients the operation time,blood loss,gastrointestinal function recovery time and complications were significantly less than the open surgery group,by statistical analysis,there was significant difference,P0.05,and complications of patients were cured by symptomatic treatment.Conclusions：Laparoscopic surgery for chronic atrophic cholecystitis shorter operative time,less blood loss,faster recovery of gastrointestinal function,low incidence of complications,more worthy of clinical use.