腹腔镜胆囊切除术治疗急性结石性胆囊炎的疗效观察

Efficacy of laparoscopic cholecystectomy in the treatment of acute calculous cholecystitis

目的分析腹腔镜胆囊切除术治疗急性结石性胆囊炎的疗效与安全性。方法将180例急性结石性胆囊炎患者分为观察组与对照组,观察组患者108例,接受腹腔镜胆囊切除术治疗;对照组患者72例,接受开腹胆囊切除术治疗。结果观察组术中出血量、术后肛门排气时间、术后下床活动时间、术后疼痛时间、术后住院时间显著低于对照组,差异有统计学意义(P<0.05)。观察组胆管损伤、切口出血、胆心反射、肠粘连、切口感染等并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜胆囊切除术治疗急性结石性胆囊炎具有手术创伤小、术后恢复快、并发症发生率低等优点,值得临床推广应用。

Objective To compare the efficacy and safety of laparoscopic cholecystectomy and open cholecystectomy in the treatment of acute calculous cholecystitis.Methods 110 cases of acute calculous cholecystitis were divided into an observation group and a control group according to their surgical methods,and observation group （108 cases） received laparoscopic cholecystectomy, while control group （72 cases） was given open cholecystectomy. Results ①The amount of bleeding, postoperative anal exhaust time, activity time, pain time and hospitalization time in observation group were significantly lower than those in control group respectively （P〈0.05）.②The incidence rates of bile duct injury, incision bleeding, biliary cardiac reflex, intestinal adhesion and incision infection in observation group were significantly lower than those in control group respectively （P〈0.05）.Conclusion The laparoscopic cholecystectomy in the treatment of acute calculous cholecystitis shows some advantages, such as small operation wound, rapid postoperative recovery and low incidence of complications, and this surgical method is worthy of being popularized and applied.