腹腔镜手术治疗急性胆囊炎的效果评价

Effect of Laparoscopic surgery for acute cholecystitis

目的 :探讨用腹腔镜手术治疗急性胆囊炎的效果。方法 :将2016年6月至2017年12月期间在武胜县中医医院就诊的120例急性胆囊炎患者作为研究对象。根据治疗方法的不同将其分为腹腔镜组和对照组。为对照组患者采用开腹手术进行治疗,为腹腔镜组患者采用腹腔镜手术进行治疗。然后比较两组患者治疗的效果和各项手术指标。结果 :腹腔镜组患者治疗的总有效率高于对照组患者(P<0.05)。腹腔镜组患者手术的时间、术毕至胃肠功能恢复正常的时间、术后住院的时间均短于对照组患者(P<0.05)。腹腔镜组患者术后胆总管损伤、切口感染的发生率均低于对照组患者,其术后胆漏的发生率高于对照组患者(P<0.05)。结论 :用腹腔镜手术治疗急性胆囊炎的效果确切,可缩短患者手术的时间,促进其康复。

Objective： To explore effect of Laparoseopic surgery for acute cholecystitis. Methods： 120 patients with acute cholecystitis treated in The Traditional Chinese Medicine Hospital of Wusheng from June 2016 to December 2017 were enrolled in this study. According to the method, divide the patients to control group and Laparoscopic group. The control group was treated with open surgery, the Laparoscopic group was treated with Lapnroscopic surgery. Then compare operation indexes and treatment efficacy of 2 groups. Results： The total effective rate of Laparascopic group is higher than that in control group （ P 〈 0.05 ） .The operating time, time of gastrointestinal function normalizes, length of stay after operation arc shorter than that in control group （ P 〈 0.05 ） .Incidence of choledochus injury and incision infection of Laparoseopic group are lower than that in control group, but incidence of bile leakage is higher than that in control group （ P 〈 0.05 ） . Conclusion： Laparoscopic surgery is effective in the treatment of acute eholccystitis and can be used to shorten the operation time and accelerate the postoperative rehabilitation.