腹腔镜胆囊切除术治疗急性胆囊炎的临床观察

Clinical Observation of Laparoscopic Cholecystectomy in the Treatment of Acute Cholecystitis

目的:探讨急性胆囊炎病人采取腹腔镜胆囊切除术的临床效果。方法:选取某院收治的急性胆囊炎病人120例,以便利抽样法分为小切口组与腹腔镜组各60例,对两组病人临床效果进行观察对比。结果:腹腔镜组切口长度(3.42±0.18)cm、术中出血量(46.23±3.37)mL、术后7d血清CRP(3.15±2.75)mg/L、IL-8(8.12±3.88)pg/mL、术后并发症发生率6.67%、住院时间(4.26±1.04)d,均明显低于小切口组[(4.82±0.27)cm、(91.04±3.16)mL、(7.18±3.82)mg/L、(12.87±4.13)pg/mL、20.00%、(7.22±1.08)d],P<0.05。结论:腹腔镜胆囊切除术可有效提高急性胆囊炎病人临床治疗效果,且并发症少,恢复速度快,值得临床应用。

Objective：To explore the clinical effect of laparoscopic cholecystectomy in patients with acute cholecystitis.Methods：120 cases of patients with acute cholecystitis treated in a hospital were selected and divided into small incision group and laparoscopy group by the sampling method,with 60 cases in each group.The clinical effect of the two groups was compared.Results：The incision length,intraoperative blood loss,serum CRP the 7 th day after operation,IL-8,incidence of postoperative complications,and the hospitalization time in the laparoscopic group were（3.42±0.18）cm,（46.23±3.37）mL,（8.12±3.88）pg/mL6.67%,and（4.26±1.04）d,respectively,which were significantly lower than those in the small incision group（4.82±4.82）cm,（91.04±3.16）mL,（7.18±3.82）mg,（12.87±4.13）pg/mL,20.00%,（7.2±1.08）d（P〈0.05）.Conclusion：Laparoscopic cholecystectomy can effectively improve the clinical treatment of patients with acute cholecystitis,with fewer complications and faster recovery rate,which is worthy of clinical application.