腹腔镜与开腹胆囊切除术治疗急性结石性胆囊炎的临床疗效对比

Clinical efficacy Comparison between laparoscopy and open cholecystectomy for acute calculous cholecystitis

目的比较急性结石性胆囊炎患者分别采用腹腔镜胆囊切除术以及开腹胆囊切除术的临床效果。方法选择我院2014年2月至2017年2月收治的50例急性结石性胆囊炎患者,对照组:开腹胆囊切除术,观察组:腹腔镜胆囊切除术。回顾性分析两组急性结石性胆囊炎患者的肠鸣音恢复时间、术后24 hVAS评分结果以及住院时间等。结果观察组急性结石性胆囊炎患者肠鸣音恢复时间、术后24 hVAS评分结果以及住院时间等优于对照组(P<0.05)。结论对于急性结石性胆囊炎患者,合理开展腹腔镜胆囊切除术,同传统开腹胆囊切除术疗效相比,可以保证患者的治疗康复时间得以显著缩短,术后疼痛症状得以显著缓解,术后并发症显著降低。

Objective To compare the clinical efficacy between laparoscopy and open cholecystectomy for patients of acute calculous cholecystitis. Methods Fifty patients of acute cholecystitis from February 2014 to February 2017 were divided into control group treated with open cholecystectomy and observation group with laparoseopic eholecystectomy; a retrospective analysis was conducted to compare time of resuming peristaltic sound, postoperative 24h VAS score and hospitalization time. Results There were shorter time of resuming peristaltic sound, higher postoperative 24 h VAS score and shorter hospitalization time in observation group when compared with those in control group （P 〈 0.05 ）. Conclusions For patients of acute calculous eholecystitis, laparoscopic cholecystectomy, is conducive to shortening patient＇s recovery time, alleviating patients＇ pain significantly and decreasing the incidence of complication.