急诊腹腔镜胆囊切除术与开腹胆囊切除术治疗急性胆囊炎的效果

Effect of emergency laparoscopic cholecystectomy and open cholecystectomy in patients with acute cholecystitis

目的探讨急诊腹腔镜胆囊切除术与开腹胆囊切除术治疗急性胆囊炎的效果及对并发症发生率的影响。方法将本科室2016年1月至2018年1月的120例急性胆囊炎患者按随机数表法分为腹腔镜组(n=60)与开腹组(n=60)。腹腔镜组行急诊腹腔镜胆囊切除术,开腹组行开腹胆囊切除术。对比两种不同术式的运用效果。结果患者均顺利完成手术,腹腔镜组患者的手术出血量及术后镇痛药物使用率优于开腹组,术后排气时间、住院时间短于开腹组(P<0.05)。两组患者手术时间比较,差异不显著(P>0.05)。术后6 h,两组患者的C反应蛋白水平均升高,但腹腔镜组低于开腹组(P<0.05);腹腔镜组患者的术后并发症总发生率低于开腹组(P<0.05)。结论急诊腹腔镜胆囊切除术治疗急性胆囊炎的效果优于开腹胆囊切除术,且并发症发生率更低。

Objective To investigate the effect of emergency laparoscopic cholecystectomy and open cholecystectomy in acute cholecystitis and its effect on the incidence of complications. Methods From January 2016 to January 2018, 120patients with acute cholecystitis in our department were divided into laparoscopic group n=60 and open group n=60 according to the random number table method. The laparoscopic group was treated with emergency laparoscopic cholecy stectomy, and the open group was treated with open cholecystectomy. The effects of two different types of surgery were compared. Results All patients successfully completed the operation, the amount of surgical bleeding and the use rate of postoperative analgesic drug in the laparoscopic group were better than those in the open group, the postoperative exhaust time and hospital stay were shorter than those of the open group P 0.05 . The operation time of the two groups was not significantly different P 0.05 . At 6h after surgery, the levels of C-reactive protein increased in both groups, but that in the laparoscopic group was lower than the open group P 0.05 . The incidence of postoperative complications in the laparoscopic group was lower than that in the open group P 0.05 . Conclusion The emergency laparoscopic cholecystectomy in acutecholecystitis has better effect than the open surgery, with lower incidence of complication.