腹腔镜手术切除胆囊治疗结石性胆囊炎的疗效分析

Analysis of the curative effect of laparoscopic cholecystectomy for the treatment of calculous cholecystitis

目的:分析对结石性胆囊炎患者给予腹腔镜手术切除胆囊治疗的临床效果及并发症发生情况。方法:选取收治的120例结石性胆囊炎患者进行观察,采用掷币法将患者分为研究组、参照组,参照组60例患者给予开腹手术切除胆囊治疗,研究组60例患者给予腹腔镜手术切除胆囊治疗。观察并记录两组患者治疗效果、术后并发症发生率。结果:研究组治疗总有效率、并发症发生率分别为95.00%、3.33%,优于参照组的80.00%、16.67%,差异有统计学意义(P<0.05);研究组的手术时间、出血量、VAS疼痛评分、肠胃蠕动恢复时间、床上活动时间、床下活动时间、住院时间均低于参照组(P<0.05)。结论:对结石性胆囊炎患者给予腹腔镜手术切除胆囊治疗能有效降低患者疼痛感,术后并发症少,患者恢复快,住院时间短,安全性高,值得推广。

Objective：To analyze the clinical effect and complications of laparoscopic cholecystectomy in patients with calculous cholecystitis.Methods： Observation of 120 cases of calculous cholecystitis admitted,Patients were divided into study group（n= 60） and control group（n= 60）,Treatment of cholecystectomy with open surgery in 60 patients in the reference group,Laparoscopic cholecystectomy was performed on 60 patients in the study group. Observe and record the effect of treatment and the incidence of postoperative complications in the two groups. Results：The total effective rate of treatment and the incidence of complications in the study group were 95.00% and 3.33%, respectively, which were better than those in the reference group（80.00%and 16.67%, P 0.05）;The operation time, bleeding volume and VAS pain score, the recovery time of gastrointestinal peristalsis, the time of bed activity, the time of moving under bed, the time of hospitalization were lower than those of the control group（P〈0.05）.Conclusion： Laparoscopic cholecystectomy in patients with cholecystitis can effectively reduce the pain, fewer postoperative complications, rapid recovery, short hospital stay, high safety, which is worthy of promotion.