急诊腹腔镜胆囊切除术和开腹胆囊切除术治疗急性胆囊炎的效果对比

Effect comparison of laparoscopic cholecystectomy in emergency and open cholecystectomy treating acute cholecystitis

目的探讨急诊腹腔镜胆囊切除术和开腹胆囊切除术治疗急性胆囊炎的效果。方法分析我院普外科2013年1月~2016年12月收治的急性胆囊炎患者120例的临床资料,依据手术方式不同进行分组,开腹组(开腹胆囊切除术)60例和腹腔镜组(急诊腹腔镜胆囊切除术)60例。观察两组患者的治疗情况、总有效率、术后并发症发生情况。结果腹腔镜组的手术时间[(31.7±5.9)min]、胃肠功能恢复时间[(18.1±2.9)h]和住院时间[(4.5±1.0)d]均短于开腹组[(63.5±10.2)min、(28.4±3.6)h、(9.5±3.4)d],术中出血量[(55.9±7.5)ml]少于对照组[(136.8±16.7)ml](P<0.05)。腹腔镜组的总有效率(100%)高于开腹组(80%),术后并发症发生率(6.7%)低于开腹组(20.0%),差异有统计学意义(P<0.05)。结论急诊腹腔镜胆囊切除术治疗急性胆囊炎创伤小,恢复良好,预后较好。

Objective To discuss the effect of laparoscop ic cholecystectomy in emergency and open cholecystectomy treating acute cholecystitis.nethods Clinical data of 120 cases with acute cholecystitis treated in general surgery department of our hospital from January 2013 to December 2016 were analyzed and they were divided into two groups by different operation methods：open group （open cholecystectomy in emergency,n=60） and laparoscopic group （laparoscopic cholecystectomy in emergency,n=60）.The treatment condition,the total effective rate,the incidence of complications after operation in patients between the two groups were compared.Results The operation time [（31.7±5.9） min],stomach intestine functional recovery time [（18.1±2.9） h] and hospital stays [（4.5±1.0） d] in laparoscopic group were shorter than those of open group [（63.5±10.2） min,（28.4±3.6） h,（9.5±3.d） d],intraoperatve blood soss [（55.9±7.5） ml] was fewer than that of control group [（136.8±16.7） ml] （P〈0.05）.The total effective rate （100%） was higher than that of control group （80%）,the incidence of complications after operation in laparoscopic group （6.7%） was lower than that of open group （20.0%）,and the differences were statistical significance （P〈0.05）.Conclusion The injury of laparoscopic cholecystectomy in emergency treating acute cholecystitis is little,recovery is good,prognosis is good.