腹腔镜胆囊切除术与开腹胆囊切除术治疗急性胆囊炎临床对比分析

Comparative Analysis on Laparoscopic Cholecystectomy vs. Open Cholecystectomy for Acute Cholecystitis Clinical

目的探讨腹腔镜胆囊切除术对比与开腹胆囊切除术治疗急性胆囊炎的方法及疗效。方法随机抽取本院收治的80例急性胆囊炎患者,自愿分为2组,对照组38例行开腹胆囊切除术,观察组42例行腹腔镜胆囊切除术。比较两组患者的术中出血量、手术时间、下床活动、肠道恢复时间、住院时间、C反应蛋白(CRP)变化和并发症发生率。结果两组间相比,治疗后观察组患者的各项临床指标和CRP变化均优于对照组(P<0.05),且其并发症发生率为11.9%,低于对照组的26.3%(P<0.05)。结论腹腔镜胆囊切除术治疗急性胆囊炎,可显著提高患者的临床疗效,减少手术损伤和并发症的发生。

Objective To evaluate therapeutic effect of laparoscopic cholecystectomy versus open cholecystecto- my for acute cholecystitis. Methods 80 cases of acute cholecystitis were randomly divided into control group （38 ca- ses） treated by routine open cholecystectomy, and observation group （42 cases）treated by laparoscopic cholecystecto- my. Blood loss, operative time, ambulation, bowel recovery time, hospital stay time, CRP changes and incidence of complications were compared. Results The blood loss, operative time, ambulation,bowel recovery time, hospital stay time and CRP changes of observation were better than those of control group （P 〈 0.05 ）. The complication incidence of observation group（ 11.9% ） was lower than that of control group （ 26.3% ） （ P 〈 0.05 ）. Conclusion For acute cholecystitis,compared with routine open cholecystectomy, laparoscopic cholecystectomy can significantly improve clinical efficacy, and reduce surgical damage and complications.