开腹胆囊切除术和腔镜胆囊切除术治疗急性胆囊炎的临床效果对比分析

The Clinical Comparative Analysis of Curing Acute Cholecystitis by Open Cholecystectomy and Laparoscopic Cholecystectomy

目的探讨开腹胆囊切除术和腔镜胆囊切除术治疗急性胆囊炎临床效果。方法采用回顾性分析的方法,分析该院收治的急性胆囊炎患者的临床资料,根据不同手术方式分为观察组(腔镜胆囊切除术组)50例与对照组(开腹胆囊切除术组)50例。结果观察组手术切口长度、手术时间、术中出血量、术后排气时间、术后下床时间、住院时间均显著优于对照组,观察组腹胀、阻塞性黄疸、术后感染、术后出血等并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜下治疗急性胆囊炎的创伤小、恢复快,临床效果明显。

Objective To approach clinical result of curing acute cholecystitis by open cholecystectomy and laparoscopic cholecystectomy. Methods To analyze clinical data of acute cholecystitis patients,which was to be divided into detection group（Laparoscopic cholecystectomy group）50 cases control group（Open cholecystectomy group）50 cases. Results The operation incision length, operation time, intraoperative bleeding volume, postoperative exhaust time, postoperative ambulation time, hospitalization time of detection group were better than control group, Obstructive jaundice, abdominal distension, postoperative infection, postoperative bleeding and other complications of detection group were lower than control group,P＆lt;0.05,the difference statistical significance. Conclusion The small trauma, quick recovery of curing acute cholecystitis by laparoscopic cholecystectomy,the clinical result was obviously.