结石性胆囊炎采用开腹和腹腔镜手术切除胆囊治疗的临床疗效观察

Observation on clinical efficacy of laparotomy and laparoscopy for cholecystectomy in the treatment of calculous cholecystitis

目的总结并归纳结石性胆囊炎采用开腹和腹腔镜手术切除胆囊治疗的临床疗效。方法 98例结石性胆囊炎患者为研究对象,以随机数字表法分为观察组和对照组,各49例。对照组采用开腹手术切除胆囊治疗,观察组采用腹腔镜手术切除胆囊治疗,比较两组患者临床治疗效果、手术相关指标及治疗满意率。结果治疗后,观察组治疗总有效率为95.92%(47/49),显著高于对照组的83.67%(41/49),差异具有统计学意义(P<0.05);观察组患者术中出血量少于对照组,手术时间及下床活动时间均短于对照组,差异均具有统计学意义(P<0.05);观察组患者治疗满意率为97.96%(48/49),显著高于对照组的87.76%(43/49),差异具有统计学意义(P<0.05)。结论在治疗结石性胆囊炎时,腹腔镜手术切除术具有更高的治疗效果,可显著优化手术相关指标,提高治疗满意率,值得推广应用。

Objective To summarize the clinical efficacy of laparotomy and laparoscopy for cholecystectomy in the treatment of calculous cholecystitis. Methods A total of 98 calculous cholecystitis patients as study subjects were divided by random number table method into observation group and control group, with 49 cases in each group. The control group received laparotomy for cholecystectomy, and the observation group received laparoscopy for cholecystectomy. Comparison were made on clinical treatment effect, surgical related indexes and treatment satisfaction degree between the two groups. Results After treatment, the observation group had significantly higher total effective rate as 95.92%(47/49) than 83.67%(41/49) in the control group, and the difference was statistically significant(P<0.05). The observation group had less intraoperative bleeding volume than the control group, and shorter operation time and off-bed activity time than the control group. The differences were statistically significant(P<0.05). The observation group had significantly higher treatment satisfaction rate as 97.96%(48/49) than 87.76%(43/49) in the control group, and the difference was statistically significant(P<0.05). Conclusion In the treatment of calculous cholecystitis, laparoscopic cholecystectomy has a higher treatment effect, and can significantly optimize the surgical related indicators and improve the treatment satisfaction rate. It is worthy of promotion and application.