腹腔镜手术治疗坏疽性胆囊炎45例患者临床疗效观察

Clinical effect of laparoscopic cholecystectomy for 45 patients with gangrenous cholecystitis

目的总结分析坏疽性胆囊炎采用腹腔镜手术治疗的临床应用效果。方法确定孟州市中医院在2013年4月—2016年6月期间收治的90例坏疽性胆囊炎患者为本次研究对象,根据手术治疗方法不同分为开腹组和腹腔镜组,各有45例,比较两组的手术治疗效果和重要指标。结果腹腔镜组在治疗总有效率、手术时间、术中出血、下床活动时间、住院时间以及并发症总发生率方面,腹腔镜组和开腹组之间存在着明显的差异性(P<0.05),具有统计学意义。结论坏疽性胆囊炎采用腹腔镜手术治疗,满足临床微创手术治疗的优势,减少并发症的发生,保证治疗效果。在满足适应症和禁忌症条件下,腹腔镜可作为坏疽性胆囊炎的首选手术治疗方法。

Objective To analyze the clinical effect of laparoscopic cholecystectomy in patients with gangrenous cholecystitis. Methods A total of 90 cases with gangrenous cholecystitis were selected in our hospital from Apr. 2013 to Jun. 2016,and all subjects were divided into Laparotomy group（ n = 45） and Laparoscopic group（ n = 45）. The effect and important index were compared between two groups. Results There were significant differences on total effective rate,operation time,bleeding in operation,activity time,hospital stays and complications occurrence rate between two groups（ P〈0. 05）. Conclusion Laparoscopic for gangrenous cholecystitis patients have clinical minimally invasive surgical treatment advantages,reduce complications,and guarantee treatment effect. Under the condition of indication and contraindication,Laparoscopy can be used as a preferred surgical treatment for gangrenous cholecystitis.