关于腹腔镜治疗胆囊结石急性发作临床治疗观察分析

Observation and Analysis on the Clinical Treatment of Acute Attack of Gallstones With Laparoscope

目的：主要对腹腔镜治疗胆囊结石急性发作临床疗效进行了分析思考。方法选取我院2013年7月～2014年7月胆囊结石急性发作患者122例，并且将其分为实验组以及对照组，每组人数分别为61例，对照组患者采用传统的开腹胆囊切除术，而且观察组患者则是采用腹腔镜下胆囊切除术，并且对两组患者临床指标进行观察分析。结果通过临床指标的观察，实验组患者的手术时间、出血量、疼痛分数都小于对照组的患者指标。同时实验组的排气时间、下床时间以及住院时间等对对照组患者相比都比较少，实验组患者并发症的发生率也低于对照组，两组患者差异在统计学上都具有意义（P＜0.05）。结论在胆囊结石急性发作临床治疗中，腹腔镜治疗具有很大的优势，其安全可靠性高，术后并发症较少，有助于患者的康复。

Objective Mainly analyzed laparoscopic treatment of acute attack gallstones clinical curative effect.Methods 122 patients with acute attack gallstones in our hospital among July 2013 to July 2014, and it can be divided into the experimental group and control group, the number of each group is 61 cases. The control group were treated by traditional open cholecystectomy, and observation group of patients were treated by laparoscopic cholecystectomy, and the clinical indexes were observed in both groups.Results Through clinical index of observation, the operation time, blood loss, pain scores of experimental group of patients were significantly less than the patients of control group. At the same time, the experimental group exhaust time, bed time and hospitalization time are smaller compared to the control group patients, the incidence of complications also below the control group. Experimental group patients differences between the groups was statistically significant （P〈0.05）. Conclusions In clinical treatment of acute attack gallstones, laparoscopic treatment has great advantages, it has high safety and reliability, less postoperative complications, and it is helpful for the recovery of patients.