急诊Lc与Mc治疗急性胆囊炎的疗效观察

Clinical efficacy analysis of emergency Lc and Mc in the treatment of acute cholecystitis

目的:考察急诊腔镜胆囊切除术(Lc)与小切口胆囊切除术(Mc)治疗急性胆囊炎的临床疗效差异。方法:将104例急性胆囊炎患者随机分为Lc组和Mc组,每组52例,比较两组患者手术成功率、术中和术后情况以及并发症发生率。结果:两组患者手术均顺利完成未有转开腹或大切口手术病例,再手术率比较差异无统计学意义(P>0.05)。Lc组患者术中出血量、术后肛门排气时间、下床时间、疼痛时间和住院时间与Mc组比较差异有统计学意义(P<0.01)。Lc组发生2例胆管损伤,Mc组发生3例切口感染、1例胆管损伤,两组术后并发症发生率比较差异无统计学意义(χ2=0.707,P>0.05)。结论:急诊Lc治疗急性胆囊炎安全有效,具有临床应用价值。

Objective：To study the clinical efficacy of emergency Lc and Mc in the treatment of acute cholecystitis.Method：A total of 104 cases of acute cholecystitis were randomly divided into Lc group and Mc group,52 patients in each group.Patients in Lc group were treated by emergency laparoscopic cholecystectomy（Lc）and patients in Mc group were treated by emergency mini-incision cholecystectomy（Mc）.The success rate of surgery,intraoperative and postoperative complication rates were compared between the two groups.Result：All surgery were successful and none of them accept open large incision surgery.Reoperation rate has no significant difference（P〉0.05）.Blood loss,anal exhaust time,pain time,ambulation and hospital stay in Lc group has a significant difference compared with the Mc group（P〈0.01）.LC group had 2cases of bile leakage.Mc group had three cases of wound infection,1case of bile duct injury.Postoperative complications between the two groups showed no significant difference（χ2=0.707,P〉0.05）.Conclusion：Emergency Lc treatment of acute cholecystitis is safe and effective in clinical application.