腹腔镜与开腹手术治疗急性胆囊炎的临床疗效对比分析

Comparative analysis of the clinical efficacy of LC and OC in acute cholecystitis

目的对比观察腹腔镜与开腹手术治疗急性胆囊炎的临床疗效。方法 400例急性胆囊炎患者随机分为两组,分别行腹腔镜(LC)和开腹胆囊切除术(OC)治疗。比较说明急性胆囊炎腹腔镜胆囊切除术的可行性。结果 LC组手术时间、出血量、下床活动时间、术后胃肠功能恢复时间及平均住院时间均低于OC组差异有统计学意义(P<0.05);OC组术后并发症的发生率(23.0%)高于LC组(6.0%),差异有统计学意义(P<0.05)。结论在严格的手术适应证选择和精密的手术操作的前提下,急性胆囊炎应用腹腔镜胆囊切除术治疗,住院时间短,康复快,并发症少,安全有效,值得临床推广。

Objective To comparatively observe the clinical effect of LC and OC in acute cholecystitis. Methods Four hundred acute cholecystitis patients were divided into LC group and OC group. To compare various aspects of the situ- ation, in order to comparatively show the feasibility of LC in acute cholecystitis. Results The operation time, blood loss, evacuation active time, restoration of gastrointestinal function time after operation and average hospital stay in LC group were lower than OC group （P 〈 0.05）. The incidence of complications in OC group （23.0%） was higher than in LC group （6.0%） （P 〈 0.05）. The differences were all statically significant （P 〈 0.05）. Conclusion On the premise of strict selection of operation indications and precise surgery operation, LC in acute cholecystitis has short hospitalization time, quick recovery, less complications and it is worthy of clinical promotion.