腹腔镜在急性结石性胆囊炎治疗中的临床应用效果观察

The Observation on the Clinical Effect of Laparoscopy in the Treatment of Acute Calculous Cholecystitis

目的探讨腹腔镜在急性结石性胆囊炎治疗中的临床效果。方法选取于该院诊断为急性结石性胆囊炎患者164例,按其就诊顺序随机分为对照组(82例)和观察组(82例),对照组患者行传统开腹手术治疗,观察组患者行腹腔镜手术治疗。结果观察组患者术中出血量、术后疼痛评分、术后排气时间、下床活动时间、住院天数、并发症等指标均明显优于对照组患者各相应指标,组间差异有统计学意义(P<0.05)。结论在急性结石性胆囊炎治疗中,腹腔镜治疗效果佳、创伤小、并发症少,患者痛苦少、术后恢复快、住院时间短,值得推广。

Objective To explore the clinical effect of laparoscopy in the treatment of acute calculous cholecystitis. Methods 164 cases of patients diagnosed with acute calculous cholecystitis in our hospital were divided into control group （82 cases） and obser- vation group （82 cases） according to the visiting sequence. The control group was treated with traditional open surgery, and the ob- servation group was treated with laparoscopic surgery. Results The intraoperative blood loss, postoperative pain score, postoperative exhaust time, ambulation time, hospitalization days, complications and other indicators of the patients in the observation group were significantly better than those of the control group, the differences were statistically significant（P〈0.05）. Conclusion For acute cal- culous cholecystitis, laparoscopic surgery has better treatment effect with smaller trauma, fewer complications, less pain, quicker recovery and shorter hospitalization time, which is worthy of promotion.