研究腹腔镜胆囊切除术治疗急性复杂性胆囊炎的效果

Study on the Effect of Laparoscopic Cholecystectomy in the Treatment of Acute Complex Cholecystitis

目的:探讨腹腔镜胆囊切除术治疗急性复杂性胆囊炎的效果。方法:将某院2014年3月~2016年3月收治的急性复杂性胆囊炎中老年患者35例,随机分为观察组(19例)和对照组(16例),对照组行传统开腹手术治疗,观察组行腹腔镜胆囊切除手术治疗,比较两组平均术中出血量、平均手术时间、平均住院时间、平均胃肠蠕动时间、并发症发生率。结果:(1)和对照组患者对比,观察组平均手术时间、住院时间和胃肠蠕动时间明显更短,术中出血量也明显更少,P<0.05;(2)观察组术后并发症发生率(10.53%)远远低于对照组(50%),P<0.05。结论:腹腔镜胆囊切除术治疗急性复杂性胆囊炎的效果显著,安全程度更高,并发症更少,值得临床广泛应用及推广。

Objective：To investigate the effect of laparoscopic cholecystectomy on acute complex cholecystitis.Methods：35 elderly patients with acute complex cholecystitis from March 2014 to March 2016 were randomly divided into observation group（n=19）and control group（n=16）.The control group was treated with conventional open surgery and the observation group was treated with laparoscopic cholecystectomy.The mean intraoperative blood loss,mean operative time,mean hospitalization time,mean gastrointestinal peristalsis,and complication were compared between the two groups.Results：（1）Compared with the control group,the average operative time,hospital stay and gastrointestinal motility were significantly shorter in the observation group,and the intraoperative blood loss was also significantly less（P〈0.05）.（2）The incidence of postoperative complications（10.53%） in the observation group was much lower than that in the control group（50%）,P〈0.05.Conclusion：Laparoscopic cholecystectomy is effective in the treatment of acute complex cholecystitis,with higher safety and less complication.It is worthy of clinical application and promotion.