胆囊切除术治疗急性胆囊炎的临床疗效

The clinical effects of cholecystectomy in treatment of acute cholecystitis

目的分析比较腹腔镜和开腹胆囊切除术治疗急性胆囊炎的临床疗效。方法将120例急性胆囊炎患者按手术方式随机分为腹腔镜胆囊切除术组(LC)及开腹胆囊切除术组(OC),每组各60例。术后比较两组的情况。结果 LC组手术切口长度、手术时间、术中出血量、胃肠道功能恢复时间、住院时间均优于OC组(P<0.05),LC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。而两组的临床疗效均为100%,差异无统计学意义。结论腹腔镜胆囊切除术治疗急性胆囊炎临床疗效好,安全、有效、可行。

Objective To analyze and compare the clinical effects of laparoscopic cholecystectomy and open cholecystectomy in treatment of acute cholecystitis. Methods 120 patients with acute cholecystitis were divided into laparoscopic cholecystectomy group （LC） and open cholecystectomy group （ OC）, there were sixty patients in each group. Then the perioperative conditions and the postoperative conditions were compared between the two groups after the surgery. Results The nick length, operation time, the intra-operative bleeding volume, time of gastrointestinal recovery and hospitalization time in LC group were much superior to OC group （P 〈 0. 05 ）. While the infection of incisional wound, bile duct injury, biliary fistula of LC were lower than OC （P 〈0. 05） ,the diference 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 is good, and it is safe, effective and feasible.