腹腔镜胆囊切除术治疗急性胆囊炎并发胆结石的并发症发生率及疼痛持续时间

Incidence of complications and duration of pain in laparoscopic cholecystectomy for acute cholecystitis complicated with gallstones

目的探讨腹腔镜胆囊切除术治疗急性胆囊炎并发胆结石的并发症发生率及疼痛持续时间。方法将医院2015年12月至2017年12月收治的急性胆囊炎并发胆结石患者86例分为对照组和观察组,各43例。对照组患者实施常规开腹治疗,观察组患者行腹腔镜胆囊切除术治疗。观察对比两组患者临床疗效、并发症发生情况和疼痛情况。结果观察组与对照组的治疗总有效率比较,差异不显著(P>0.05)。观察组患者胆漏、胆管损伤、感染、出血的发生率均低于对照组(P<0.05)。术后2周,观察组患者VAS评分低于对照组,且疼痛持续时间短于对照组(P<0.05)。结论在急性胆囊炎并发胆结石者治疗中,采用腹腔镜胆囊切除术安全性较高,患者疼痛持续时间较短,推荐进一步推广。

Objective To investigate the incidence of complications and duration of pain in patients with acute cholecystitis complicated with gallstones after laparoscopic cholecystectomy. Methods From December 2015 to December2017, 86 cases of patients with acute cholecystitis complicated with gallstones were divided into control group and observation group, with 43 cases in each group. The control group received routine laparotomy, while the observation group underwent laparoscopic cholecystectomy. The clinical efficacy, complications and pain situation were observed and compared between the two groups. Results There was no significant difference in the total effective rate of treatment between the observation group and the control group（P〉0.05）. The incidences of bile leakage, bile duct injury, infection and bleeding in the observation group were lower than those in the control group（P〈0.05）. At 2 weeks after operation, the VAS score of the observation group was lower than that of the control group, and the duration of pain was shorter than that of the control group（P〈0.05）. Conclusion In the treatment of acute cholecystitis complicated with gallstones, laparoscopic cholecystectomy is safe and the duration of pain is shorter. It is recommended to promote further.