腹腔镜下三孔法胆囊切除术在急性胆囊炎治疗中的应用价值分析

The analysis of application value of laparoscopic cholecystectomy in acute cholecystitis

目的:探讨腹腔镜下三孔法胆囊切除术治疗急性胆囊炎的治疗效果和应用价值。方法:选取107例急性胆囊炎患者,根据手术方式的不同将其分为观察组(54例)和对照组(53例),观察组采用腹腔镜手术,对照组采用传统手术。统计比较两组患者的手术情况和治疗效果。结果:观察组治疗总有效率为100%,其疗效明显优于对照组,两组总有效率比较有差异(x2=-2.289,P<0.05)。观察组在手术时间、术中出血量、肛门恢复排气时间和术后住院日均小于或短于对照组,两组相比有差异(t=17.443,t=50.511,t=9.679,t=14.103;P<0.05)。结论:腹腔镜三孔法胆囊切除术与传统的开腹胆囊切除术相比优势明显,疗效好,安全性高,可作为急性胆囊炎胆囊切除的首选术式。

Objective To explore the treatment effect and application value of laparoscopiccholecystectomy in treating acute cholecystitis. Methods： 107 patients with acute cholecystitisin our hospital from Jan 2013 to Dec 2015 were selected and divided into observation group（laparoscopic surgery group） with 54 cases and the control group （conventional surgerygroup） with 53 cases according to surgical approach, in order to compare operative situationsand patient outcomes. Results： The total efficiency of laparoscopic surgery group was 100%,significantly better than conventional surgery group. There were differences between the two groups （x2=-2.289,P〈0.05）. The operation time, blood loss, anal exhaust recovery time and postoperative hospital stay in laparoscopicsurgery group were shorter than conventional surgery group （t=17.443, t=50.511, t=9.679, t=14.103; P〈0.05）.Conclusion： Laparoscopic cholecystectomy is effective and safe compared to the open cholecystectomy, and it canbe used as the first choice for treating acute cholecystitis cholecystectomy.