腹腔镜下治疗急性胆囊炎的临床观察

The Clinical Observation of Acute Cholecystitis Treated by Celioscope

目的探讨腹腔镜下治疗急性胆囊炎的临床疗效。方法采用回顾性分析的方法,分析收治的120例急性胆囊炎患者临床资料,依据治疗方式不同分为开腹组和腹腔镜组。结果腹腔镜组患者手术切口长度、手术时间、术中出血量、术后排气时间、术后下床时间、住院时间明显低于开腹组,腹腔镜组切口感染、胆管损伤、胆瘘发生率均明显低于对照组,P<0.05,差异均有统计学意义。但两组临床疗效均为100%,无显著性差异。结论腹腔镜下手术治疗急性胆囊炎患者疗效良好,安全性高,值得临床推广应用。

Objective To approach the clinical curative effect of curing acute cholecystitis by celioscope.Method To retrospective analyze the clinical data of 120 cases acute cholecystitis patients in A hospital,which was divided into OC and LC.Result The nick length,operation time,hemorrhage quantity,aerofluxus time after operation,get out of bed time,length of stay of LC were lower than OC,the infection of incisional wound、bile duct injury,biliary fistula of LC were lower than OC,P0.05 the difference were statistical significance.But the clinical curative effect of two group were 100%,which was no obviously difference.Conclusion The clinical curative effect of curing acute cholecystitis by celioscope was good,safety was high,which was to be used.