腹腔镜与小切口胆囊切除术治疗急性胆囊炎的临床效果对比观察

Laparoscopic and the Clinical Effect of Small Incision Cholecystectomy for Acute Cholecystitis

目的探讨腹腔镜与小切口胆囊切除术治疗急性胆囊炎的效果。方法方便选取于2014年12月—2015年12月该院急性胆囊炎患者共62例,随机分为观察组(n=31)和对照组(n=31)。给予观察组腹腔镜胆囊切除术,给予对照组小切口胆囊切除术。观察疗效。结果观察组手术时间为(67.32±17.28)min,术中出血量为(35.29±15.85)m L,术后住院时间为(4.2±1.3)d,对照组分别为(84.12±10.97)min,(47.89±20.30)m L,(7.8±2.6)d。对比两组的手术时间、术中出血量以及住院时间,观察组优于对照组,组间比较差异有统计学意义(P<0.05)。观察组的并发症发生率为6.5%,对照组为32.3%,组间比较差异有统计学意义(P<0.05)。结论腹腔镜胆囊切除术治疗急性胆囊炎效果更佳。

Objective Laparoscopic and the effect of small incision cholecystectomy for acute cholecystitis.Methods Convenient selection in December 2014 to December 2015 from a total of 62 patients with acute cholecystitis were randomly divided into observation group and control group. To observe group of laparoscopic cholecystectomy, giving control of small incision cholecystectomy. Observe curative effect. Results Observation group operation time（67.32±17.28） min, intraoperative blood loss for（35.29±15.85） m L, postoperative length of hospital stay（4.2±1.3） d, the control group（84.12±10.97） min,respectively,（47.89±20.30） m L,（7.8±2.6） d. Compared two groups of operation time, intraoperative blood loss and length of hospital stay, the observation group is better than that of control group, there are differences between the comparison between groups（P〈0.05）. The incidence of complications of observation group was 6.5%, control group was 32.3%, there are differences between the comparison between groups（P〈0.05）. Conclusion Better effect of laparoscopic cholecystectomy for acute cholecystitis.