开腹手术与腹腔镜手术治疗急性胆囊炎的疗效比较分析

The comparative analysis of curative effect of laparotomy and laparoscopic surgery on treating acute cholecystitis

目的探讨急性胆囊炎患者应用开腹手术及腹腔镜手术治疗的临床疗效。方法将80例急性胆囊炎患者随机分为开腹组及腹腔镜组两组,每组40例,分别给予开腹手术治疗及腹腔镜手术治疗,对比两组患者接受治疗后的临床治疗效果。结果两组患者术中手术时间比较差异无统计学意义(P>0.05),而腹腔镜组患者术中出血量、术后排气时间、术后下床时间、引流量及住院时间均明显低于开腹组,差异有统计学意义(P<0.05),且两组患者手术相关并发症比较腹腔镜组明显少于开腹组,差异有统计学意义(P<0.05)。结论急性胆囊炎患者应用腹腔镜手术治疗可显著提高临床治疗效果,同时可降低手术相关并发症的发生率。

Objective To discusses the clinical curative effect of patients with acute cholecystitis laparotomy and laparoscopic surgery application. Methods 80 cases of patients with acute cholecystitis were randomly divided into laparotomy group and laparoscopic group,40 cases in each group.Patients were given laparotomy and laparoscopic surgery treatment,compared clinical therapeutic effect of two groups after treatment. Results Two groups of patients with intraoperative time had no statistical difference（P〉0.05）.Laparoscopic group of patients with intraoperative haemorrhage,postoperative exhaust time,postoperative ambulation time,led traffic and length of hospital stay were significantly lower than laparotomy group（P〈0.05）.Compare two groups of patients with surgery related complications is also statistically significant,the laparoscopic group is superior to laparotomy group（P 〈0.05）. Conclusion In patients with acute cholecystitis can significantly improve the clinical application effect by laparoscopic surgery treatment,also can reduce the incidence rate of complications related to the operation at the same time.