腹腔镜阑尾胆囊联合切除术治疗阑尾炎合并胆囊结石的临床效果

Clinical effect of laparoscopic cholecystectomy combined appendectomy in the treatment of appendicitis and gallstone

目的对腹腔镜阑尾胆囊联合切除术用于阑尾炎合并胆囊结石治疗的应用价值进行分析探讨。方法选择我院2011年1月至2017年1月收治的50例阑尾炎合并胆囊结石患者进行研究,将入选的患者随机分为对照组和研究组,每组25例。对照组进行开腹手术治疗,研究组进行腹腔镜阑尾胆囊联合切除术治疗,比较两组患者的手术效果及术后并发症发生率。结果研究组治疗总有效率和术后并发症发生率分别为96.00%和4.00%,优于对照组的80.00%和16.00%,但组间比较差异不显著(P>0.05);研究组患者的手术时间、术中出血量、排气时间、下床时间、住院时间均显著优于对照组(P<0.05)。结论与开腹手术相比,腹腔镜阑尾胆囊联合切除术用于治疗阑尾炎合并胆囊结石具有更好的临床疗效,且并发症少,患者恢复快,具有重要的临床应用价值。

Objective To explore the clinical effect of laparoscopic cholecystectomy combined appendectomy in the treatment of appendicitis and gallstone. Methods Fifty cases of patients with appendicitis and gallstone from January 2011 to January 2017 were selected and randomly divided into control group（n =25） and research group（n =25）. The control group was given laparotomy, while the research group was given laparoscopic cholecystectomy combined appendectomy.The clinical effects and complications were compared in the two groups. Results The total effective rate and incidence of complications in the research group were 96.00% and 4.00% respectively, which were better than 80.00% and 16.00% of the control group, but the differences between the two groups were not significant（P〈0.05）. The operation time, intraoperative blood loss, exhaust time, the time getting out of bed and hospital stays in the research group were better than those of the control group（P〈0.05）. Conclusion Compared with the laparotomy, the laparoscopic cholecystectomy combined appendectomy in patients with appendicitis and gallstone has better clinical effect, less complication and faster recovery, which has great value in clinical application.