腹腔镜胆囊切除术在急性胆囊炎中的运用

Laparoscopic cholecystectomy were applied in acute cholecystitis

目的:探讨腹腔镜胆囊切除术在急性胆囊炎中的应用价值。方法:选择急性胆囊炎患者95例,分为开腹胆囊切除术组(OC组)47例和腹腔镜胆囊切除术组(LC组)48例,手术后观察两组患者的手术量化指标、术后康复指标和术后并发症等。结果:LC组的手术切口长度、手术时间、术中出血量等指标均低于OC组,两组差异有统计学意义(P<0.05);LC组的排气时间、术后腹部引流时间、住院时间、疼痛评分等指标均低于OC组,两组差异有统计学意义(P<0.05);LC组患者术后并发症发生率为4.17%,OC组为27.66%,两组术后并发症发生率差异有统计学意义(P<0.05)。结论:腹腔镜胆囊切除术在手术量化指标、术后恢复指标、术后并发症等方面均优于开腹胆囊切除术,适合临床推广。

Objective To investigate the laparoscopic cholecystectomy＇s application value in acute cholecystitis.Methods 95 patients with acute cholecystitis is selected in our hospital,and the patients were randomness divied into open cholecystectomy（OC group） 47 cases and laparoscopic cholecystectomy group（LC Group） 48 cases.After be treated by surgery the patients were observed in post-operative surgical quantitative indicators,postoperative rehabilitation indicators and postoperative complications.Results In the incision length,operative time,blood loss,etc.,LC group were lower than the OC group,there was a statistically significant difference between the two groups（P0.05）;In the vent time,postoperative abdominal drainage time,duration of hospitalization,pain scores,etc.,LC group were lower than other indicators OC group,there was a statistically significant difference between the two groups（P0.05）;In the LC group,postoperative complication rate was 4.17%,In the OC group it was 27.66%,there was a statistically significant difference between the two groups（P0.05）.Conclusion In the indicators during surgery,postoperative recovery targets,postoperative complications,etc.LC is better than OC,it is suitable for clinical practice.