腹腔镜胆囊切除术和开腹手术治疗急性胆囊炎的疗效对比

Clinical effects comparison of laparoscopic cholecystectomy and laparotomy in the treatment of acute cholecystitis

目的比较腹腔镜胆囊切除术和传统开腹手术在治疗急性胆囊炎中的临床效果。方法选取于我院收治的急性胆囊炎患者180例,随机分为治疗组和对照组,各90例。治疗组患者给予腹腔镜胆囊切除术治疗,对照组患者给予传统开腹手术。比较两组患者的临床效果。结果治疗组术中出血量、术后排气时间、手术时间、住院时间和下床活动时间均优于对照组(P<0.05);治疗组并发症总发生率明显低于对照组(P<0.05);治疗组术后12、24、48 h的疼痛评分均低于对照组(P<0.05)。结论腹腔镜手术应用于急性胆囊炎临床效果显著,值得推广应用。

Objective To compare the clinical effects of laparoscopic cholecystectomy and laparotomy in the treatment of acute cholecystitis. Methods A total of 180 acute cholecystitis patients admitted in our hospital were selected and randomly divided into treatment group and control group, with 90 cases in each group. The treatment group received laparoscopic cholecystectomy, and the control group accepted laparotomy. The clinical effects of the two groups were compared. Results The blood loss volume, postoperative exhaust time, operation time, hospitalization time and out of bed activity time in the treatment group were better than those in the control group(P<0.05). The total incidence of complications of the treatment group was lower than that of the control group(P <0.05). At 12, 24 and 48 hours after operation, the VAS scores of the treatment group were lower than those of the control group(P <0.05). Conclusion Laparoscopic cholecystectomy in the treatment of acute cholecystitis has significant clinical effect, which is worthy of clinical promotion and application.