腹腔镜胆囊切除术治疗胆囊结石合并急性胰腺炎的效果研究

Study on the effect of laparoscopic cholecystectomy in the treatment of cholecystolithiasis complicated with acute pancreatitis

目的:探讨腹腔镜胆囊切除术治疗胆囊结石合并急性胰腺炎的效果。方法:收治胆囊结石合并急性胰腺炎患者82例,随机平分两组。对照组予开腹胆囊切除术治疗,观察组予腹腔镜胆囊切除术治疗,对两组手术时间、住院时间及并发症发生情况进行比较、分析。结果:观察组手术时间明显短于对照组,住院时间明显短于对照组(P<0.05);观察组恶心、呕吐、感染、腹腔出血、心动过速等并发症发生率7.32%,显著低于对照组的29.27%(P<0.05)。结论:对胆囊结石合并急性胰腺炎患者采用腹腔镜胆囊切除术治疗能够促使患者尽快恢复,且具有较高的安全性。

Objective:To investigate the effect of laparoscopic cholecystectomy in the treatment of cholecystolithiasis complicated with acute pancreatitis.Methods:82 cases of gallstone complicated with acute pancreatitis were selecteted.They were randomly divided into the two groups on average.The control group was treated with open cholecystectomy,and the observation group was treated with laparoscopic cholecystectomy.The operation time,length of stay and complications of the two groups were compared and analyzed.Results:The operation time of the observation group was significantly shorter than that of the control group,and the hospitalization time was shorter than the control group(P<0.05).The incidence of complications such as nausea,vomiting,infection,abdominal bleeding and tachycardia in the observation group was 7.32%,significantly lower than that in the control group of 29.27%(P<0.05).Conclusion:The use of laparoscopic cholecystectomy in patients with gallstone and acute pancreatitis can promote the recovery of patients as soon as possible and have high safety.