基层医院开展腹腔镜胆囊切除术30例的临床分析

Basic-level hospitals to carry out clinical analysis of 30 cases of laparoscopic cholecystectomy

目的分析腹腔镜胆囊切除术在基层医院的开展及利用情况,分析其临床疗效,为基层医疗质量的进步提供必要的参考与借鉴;方法选取该院收治的30例接受腹腔镜胆囊切除术的急性胆囊炎患者,设为观察组,对照组,对比两组在手术用时、术中出血、术后并发症、术后住院、恢复排气等方面的不同,探究腹腔镜胆囊切除术的优点;结果在术后恢复排气与住院时间、并发症上,观察组也低于对照组,P<0.05,差异具有统计学意义;结论应用腹腔镜胆囊切除术的切口更小,在保证积极疗效的同时,可以控制并发症的出现,缩短住院时间,促进胃肠功能更快更好地恢复。

Objective Analysis of laparoscopic cholecystectomy in the basic-level hospitals development and utilization, and analyze its clinical curative effect, provide the necessary reference to the progress of basic medical quality and reference; Methods Selecting 30 cases of our hospital in patients with Iaparoscopic cholecystectomy in acute cholecystitis, setas observation group and control group, compared two groups in the operation time, intraoperative bleeding and postoperative complications, postoperative hospitalization, exhaust recovery, etc, to explore the advantages oflaparoscopic cholecystectomy; Results On the exhaust and the length of hospital stay, postoperative complications, observation group is lower than the control group, compare the difference P〈0.05, statistically significant; Conclusion The application of laparoscopic cholecystectomy incisions are smaller, while ensure positive curative effect, can control the complications, shorter hospital stay, faster and better promote gastrointestinal function recovery.