不同时机腹腔镜手术治疗急性结石性胆囊炎的临床疗效对比

The different opportunity peritoneoscope surgery treats the acute stone cholecystitus the clinical curative effect to contrast

目的：探讨不同时机腹腔镜手术治疗急性结石性胆囊炎的临床疗效.方法：72例急性胆囊炎患者按照手术时患者的发病时间分为2组,治疗组32例起病72h以内行腹腔镜胆囊切除术;对照组32例起病72h后行腹腔镜胆囊切除术.结果：治疗组患者的手术的平均时间短,而且术后的并发症少.同时治疗组的术后疼痛时间、术后肛门排气时间也比对照组短.结论：在急性胆囊炎起病72h以内,胆囊炎症粘连和坏疽出现前行腹腔镜是安全有效的.

Objective：Discusses the different opportunity peritoneoscope surgery to treat the acute stone cholecystitus the clinical curative effect. Methods：72 example acute cholecystitus patient according to surgery when patient＇s morbidity time divides into 2 groups, the treatment group 32 examples gets up gets sick 72h by the expert peritoneoscope gallbladder excision method;The control group 32 examples get up get sick the 72h next peritoneoscope gallbladder excision method. Results：Treats the group patient＇s surgery mean time to be short, after moreover technique complication few. After after simultaneously treats the group the technique the ache time, the technique the anus exhaust time is also shorter than the control group. Conclusion：Gets up in the acute choleeystitus gets sick in 72h, the gallbladder inflammation adhesion and the gangrene appear the vanguard peritoneoscope are safe effective.