腹腔镜下冲吸钝性解剖术治疗急性胆囊炎的临床效果探讨

Clinical Effect of Laparoscopic Swashing and Suction Blunt Dissection on the Treatment of Acute Cholecystitis

目的探讨在急性胆囊炎患者的治疗中应用腹腔镜下冲吸钝性解剖术的实际价值。方法选取我院2012年1月至2015年1月收治的48例急性胆囊炎患者,随机将其平均分为观察组与对照组各24例。对照组行常规腹腔镜手术治疗,观察组行腹腔镜下冲吸钝性解剖术治疗。对比两组手术所需时间、出血量、切口愈合时间,观察两组中途转行开腹手术率和并发症的发生率。结果两组手术所需时间、出血量、切口愈合时间以及中途转行开腹手术率和并发症的发生率比较,差异均有统计学意义(P<0.05)。结论在急性胆囊炎患者的治疗中,腹腔镜下冲吸钝性解剖术的效果显著,值得临床推广。

Objective To explore real value of the application of laparoscopic swashing and suction blunt dissection on the treatmentof patients with acute cholecystitis. Methods 48 cases of patients with acute cholecystitis admitted to our hospital from January 2012 toJanuary 2015 were selected and randomly divided into observation group and control group, with 24 cases in each group. The control groupreceived routine laparoscopic surgery, while the observation group received laparoscopic swashing and suction blunt dissection. Theoperation time, blood loss, incision healing time of two groups were compared. The rate of conversions to open surgery and the incidence ofcomplications of two groups were observed. Results The operation time, blood loss, incision healing time, the rate of conversions to opensurgery and incidence of complications had statistical difference between two groups （P〈0.05）. Conclusions In the treatment of patientswith acute cholecystitis, the effect of laparoscopic swashing and suction blunt dissection is significant. It is worthy of clinical application.