腹腔镜手术治疗急性胆囊炎的临床应用价值分析

Analysis of Clinical Application Value of Laparoscopic Surgery in Treatment of Acute Cholecystitis

目的探讨腹腔镜手术治疗急性胆囊炎的临床效果。方法收集2015年1月—2016年1月该院收治的76例急性胆囊炎患者,按随机数字表法分为两组,对照组38例,行传统开腹手术,观察组38例,行腹腔镜胆囊切除术,比较两组手术效果,并统计其术后并发症发生情况。结果观察组术中出血量为(56.18±4.25)m L,低于对照组的(108.45±10.64)m L,差异有统计学意义(P<0.05);观察组手术时间、术后肛门排气时间、下床活动时间及住院时间分别为(35.19±4.26)min、(1.18±0.65)d、(1.13±0.58)d、(4.52±1.19)d,均短于对照组的(73.28±8.35)min、(3.37±1.23)d、(2.56±1.27)d、(8.97±2.26)d,差异有统计学意义(P<0.05);观察组并发症发生率为5.26%,低于对照组的18.42%,差异有统计学意义(P<0.05)。。结论对腹腔镜胆囊炎患者采取腹腔镜手术治疗的疗效较好,降低术中出血量,促进患者康复,且术后并发症发生率低。

Objective To study the clinical effect of laparoscopic surgery in treatment of acute cholecystitis. Methods 76 cases of patients with acute cholecystitis admitted and treated in our hospital from January 2015 to January 2016 were selected and randomly divided into two groups with 38 cases in each, the control group adopted the traditional open surgery, while the observation group adopted the laparoscopic cholecystectomy, and the operative effect was compared and the occurrence of postoperative complications was counted. Results The intraoperative bleeding amount in the observation group was lower than that in the control group[（56.18±4.25）mL vs （108.45±10.64）mL], and the difference had statistical significance （P〈0.05）, the operation time, postoperative anal exhaust time, time to get out of bed and length of stay in the observation group were shorter than those in the control group[（35.19±4.26）min,（1.18±0.65） d, （1.13±0.58）d,（4.52±1.19）d vs （73.28±8.35）min,（3.37±1.23）d,（2.56±1.27）d,（8.97±2.26）d], and the differences had statistical significance（P〈0.05）, and the incidence rate of complications in the observation group was lower than that in the control group, （5.26% vs 18.42%）, and the difference had statistical significance（P〈0.05）. Conclusion The curative effect of laparoseopic surgery in treatment of acute cholecystitis is better, which can decrease the intraoperative bleeding amount and promote the recovery of patients with lower incidence rate of postoperative complications.