腹腔镜胆囊切除术治疗急性发作期胆囊炎的临床疗效

Clinical effect of laparoscopic cholecystectomy in the treatment of cholecystitis at acute attack stage

目的探讨急性发作期胆囊炎患者实施腹腔镜胆囊切除术治疗的临床疗效。方法将我院2015年10月至2017年10月收治的120例急性发作期胆囊炎患者随机分为传统组和腹腔镜组,各60例。传统组采用传统开腹胆囊切除术,腹腔镜组采用腹腔镜胆囊切除术,比较两组患者的临床效果。结果两组患者手术成功率均为100.00%。腹腔镜组患者术后并发症总发生率为3.33%,显著低于传统组的30.00%(P<0.05)。术后,两组患者SAS及SDS评分均显著降低,且腹腔镜组显著低于传统组(P<0.05)。结论急性发作期胆囊炎患者实施腹腔镜胆囊切除术的临床疗效显著,值得临床借鉴。

Objective To investigate the clinical effect of laparoscopic cholecystectomy in the treatment of cholecystitisat acute attack stage. Methods A total of 120 patients with cholecystitis at acute attack stage from October 2015 to October2017 in our hospital were randomly divided into conventional group and laparoscopic group, with 60 cases in each group.The conventional group received conventional open cholecystectomy, and the laparoscopic group received laparoscopiccholecystectomy. The clinical effects of the two group were compared. Results The successful rates of operation were100.00% in both groups. The total incidence of postoperative complications in the laparoscopic group was 3.33%, whichwas significantly lower than 30.00% of the conventional group （P〈0.05）. After surgery, the scores of SAS and SDS in thetwo groups significantly clecreased, and the scores of SAS and SDS in the laparoscopic group were significantly lower thanthose in the conventional group （P〈0.05）. Conclusion The treatment of cholecystitis at acute attack stage patients withlaparoscopic cholecystectomy is effective, which deserves clinical reference.