腹腔镜胆囊切除术对急性结石性胆囊炎患者胃肠功能的影响

Effect of Laparoscopic Cholecystectomy on Gastrointestinal Function in Patients with Acute Calculous Cholecystitis

目的观察腹腔镜胆囊切除术对急性结石性胆囊炎患者胃肠功能的影响。方法选取本院收治的82例急性结石性胆囊炎患者作为研究对象,随机分为两组,对照组使用传统开腹胆囊切除术,研究组实施腹腔镜胆囊切除术,比较两种治疗方法的临床效果。结果研究组患者的肛门排气时间、肛门排便时间以及肠鸣音恢复时间均显著短于对照组(P<0.05);研究组患者术中出血量显著少于对照组、VAS疼痛评分显著低于对照组(P<0.05)。结论腹腔镜胆囊切除术治疗急性结石性胆囊炎效果优于传统开腹胆囊切除术,可使患者的胃肠功能更好地恢复。

Objective To study the effect of laparoscopic cholecystectomy on gastrointestinal function in patients with acute calculous cholecystitis. Methods Eighty-two patients with acute calculous cholecystitis received in our hospital selected and equally divided into two groups. The control group was treated with traditional cholecystectomy.The study group was treated with laparoscopic cholecystectomy,and the clinical effect of two treatment methods was compared. Results The anus exhaust time,anus defecation time and the recovery time of the bowel sounds were significantly shorter in the study group than in the control group(P<0.05).The amount of bleeding in the study group was less than the control group and the VAS pain score was lower than the control group,with statistical difference between the groups(P<0.05). Conclusion The clinical effect of laparoscopic cholecystectomy for patients with acute calculous cholecystitis is more obvious,which can make the patients’ gastrointestinal function better recovery.