腹腔镜胆囊切除术在急性胆囊炎并发胆结石治疗中的临床探讨

Clinical discussion of laparoscopic cholecystectomy in the treatment of acute cholecystitis complicated with gallstones

目的探讨腹腔镜胆囊切除术在急性胆囊炎并发胆结石中的临床疗效。方法选取我院2014年1月~2015年12月收治的80例胆结石伴随急性胆囊炎患者,按照病例编号分为对照组和观察组,各40例。对照组患者采用传统手术,观察组患者采用腹腔镜胆囊切除术。比较两组患者的手术时间、失血量、住院时间、恢复进食时间等各项指标,同时对比两组患者手术后的并发症发生率。结果观察组患者的手术时间、住院时间、恢复进食时间均短于对照组,失血量少于对照组,术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论使用腹腔镜胆囊切除术极大地缩短了胆结石伴随急性胆囊炎患者的手术治疗时间,同时减少了术后切口感染和并发症的发生。

Objective To investigate the clinical effect of laparoscopic cholecystectomy in acute cholecystitis complicat- ed with gallstones.Methods 80 cases of cholecystitis with gallstones from January 2014 to December 2015 in our hos- pital were selected and divided into the control group and the observation group according to ease number,40 cases in each group.The patients in the control group were treated with conventional surgery.The patients in the observation group were treated with laparoscopic eholecystectomy.The operative time,blood loss,hospitalization time and recovery time were compared between the two groups,and the incidence of complication was compared between the two groups. Results The operation fime,hospitalization time and recovery time of the observation group were shorter than those of the control group,the blood loss of the observation group was less than that of the control group,the incidence of postop- erative complications in the observation group was significantly lower than that in the control group,the difference was statistically significant （P〈0.05）.Condusion The use of laparoscopic cholecystectomy can shorten the timing of surgery for patients with gallstones associated with acute choleeystitis,while reduce postoperative ineisional infection and com- plications.