腹腔镜胆囊大部分切除术治疗急性化脓性胆囊炎的效果观察

Clinical Effect Observation of Laparoscopic Resection of Most Gallbladder on Patients with Acute Suppurative Cholecystitis

目的:分析腹腔镜胆囊切除术治疗急性化脓性胆囊炎的效果。方法:选取我院2008年2月-2014年2月收治的200例行手术治疗的急性化脓性胆囊炎,随机分为观察组与对照组,各100例。对照组行开腹胆囊切除术,观察组行腹腔镜胆囊大部分切除术,观察比较两组患者的治疗效果。结果:观察组手术所需时间、术中的出血量、进食恢复的时间以及住院时间比较均少于对照组,差异具有统计学意义(P<0.05);观察组并发症发生率5%低于对照组19%,组间比较,差异具有统计学意义(P<0.05)。结论:在急性化脓性胆囊炎的手术治疗中,腹腔镜胆囊大部分切除术的手术效果确切,能够有效减轻手术创伤,减少并发症,提高患者的预后。

Objective To analyze the effect of the treatment of acute suppurative cholecystitis by laparoscopic cholecystectomy. Methods 200 underwent surgical treatment of acute suppurative cholecystitis, according to the operation were included in the observation group and the control group（n = 100）. The control group was treated with open cholecystectomy, while the observation group was treated with laparoscopic resection of gallbladder majority. Results Two groups＇ operation time, blood loss, recovery time and hospital stay in feeding showed significant difference（P〈0.05）; The complication rate of observation group was 5% lower than the control group 19 %（P〈0.05）; There was no recurrence in two groups of cases. Conclusion In the surgical treatment of acute suppurative cholecystitis laparoscopic resection of most gallbladder can effectively reduce the surgical trauma and reduce the complications and improve the prognosis of patients with effect.