腹腔镜及开腹胆囊切除术治疗胆囊炎的对比分析

Comparative analysis of cholecystitis treated with laparoscopic and open cholecystectomy

目的：比较腹腔镜胆囊切除术和开腹胆囊切除术治疗胆囊炎的疗效及并发症。方法：将2010年1月-2011年3月收治的80例患者作为研究对象，随机分成腹腔镜胆囊切除术组和开腹胆囊切除术组，两组各40例，观察两组术后恢复情况及并发症。结果：开腹组术后疼痛时间长于腹腔镜组（P〈0．05），开腹组术后肛门排气明显晚于腹腔镜组（P〈0．05），开腹组术后下床活动时间明显晚于腹腔镜组（P〈0．05），开腹组术后感染等并发症的发生率明显高于腹腔镜组（P〈O．05）。结论：腹腔镜胆囊切除术比开腹胆囊切除术创伤小、疗效高、并发症少、疼痛轻、恢复快，且对患者的免疫功能影响较小，腹腔镜胆囊切除术的综合优势较明显，适用于临床推广使用。

Objective：To compare the laparoscopic cholecystectomy and open choleeystectomy cholecystitis treatment efficacy and complications. Methods：80 patients from January 2010 to March 2011 were treated as research subjects,were divided into laparoscopic eholeeystectomy group and open cholecystectomy group, 40 patients in every group,and the postoperative recovery and complications were observed. Results.. Postoperative pain of laparotomy group longer than the laparoscopic group of （P〈0.05）, anal exhaust of laparotomy group was significantly later than the laparoseopic group （P〈0.05） ,laparotomy group were out of bed time was significantly later than the laparoscopic group （P〈0.05） ,postoperative infection and other complications of laparotomy group were significantly higher than the laparoscopic group （P〈0.05）. Conclnsion：Laparoscopic cholecystectomy than open cholecystectomy trauma, high efficacy, fewer complications,less pain, faster recovery,and the impact on immune function in patients with small,laparoscopic cholecystectomy the comprehensive advantages of the more obvious,for clinical use.