不同术式治疗急性结石性胆囊炎患者的临床效果对比研究

Clinical effects comparative of different surgical treatment of acute cholecystitis

目的：比较两种不同术式治疗急性结石性胆囊炎的临床效果。方法回顾性分析2012年10月～2014年3月来我院就诊的急性结石性胆囊炎患者166例，按照治疗的方法分为两组，对照组83例采用传统开腹手术治疗，观察组83例采用腹腔镜手术治疗，比较两组治疗效果。结果（1）观察组手术时间与对照组比较较短，术中出血量较少，止痛药的使用率较低，差异有统计学意义（P＜0.05）。（2）观察组VAS评分与对照组比较较少，住院时间及排气时间较短，并发症发生率较低，差异有统计学意义（P＜0.05）。结论采用腹腔镜手术治疗急性结石性胆囊炎对患者造成的创伤小，疼痛轻，恢复速度快，可以在临床推广应用。

Objective To compare the clinical effect of acute cholecystitis treated with two different surgical treatment. Methods 166 cases with acute cholecystitis selected from October 2012 to March 2014 in our hospital were retrospective analyzed, all of them were divided into two groups according to the treatment method, there were 83 cases in the control group and the patients of this group were treated with traditional open surgery, there were 83 cases in the observation group and the patients of this group were treated with laparoscopic surgery, we compared the treatment effects of two groups. Results （1） The operative time of the observation group was significant shorter than that of the control group, the blood loss was less, the pain medication usage rate was lower, the difference of two groups was significant（P〈0.05）. （2） VAS score of the observation group was lower than that of the control group, the hospitalization time and the discharge time were shorter, the complication rate was lower, the difference of two groups was significant（P 〈 0.05）. Conclusion The invasive of the acute cholecystitis patients treated with Laparoscopic surgery is less, the pain is lighter, the recovery speed is faster, this treatment has clinical applications.