LC与小切口胆囊切除术治疗早期急性胆囊炎的临床分析

Clinical Analysis of LC and Small Incision Cholecystectomy for Early Acute Cholecystitis

目的分析探讨使用腹腔镜胆囊切除术(LC)和小切口胆囊切除术对早期急性胆囊炎进行治疗的临床治疗效果。方法将2014年12月—2016年12月收治的92例早期急性胆囊炎患者随机分为对照组和观察组,每组46例,为对照组患者进行小切口胆囊切除术治疗,为观察组患者进行LC治疗,观察并比较两组患者的手术时间、并发症情况、住院时间和术中出血量等临床治疗情况。结果两组患者经治疗后均治愈。观察组患者的手术时间、住院时间以及术中出血量分别为(54.5±0.6)min、(3.6±0.4)d、(26.8±10.2)mL;对照组患者的手术时间、住院时间以及术中出血量分别为(63.9±1.4)min、(5.2±1.2)d、(32.5±15.8)mL。观察组患者的并发症发病率为6.52%(3/46);对照组患者的并发症发病率为26.09%(12/46)。数据差异有统计学意义(P<0.05)。结论 LC和小切口胆囊切除术均能够用治疗早期急性胆囊炎,但LC治疗早期急性胆囊炎的临床治疗效果更好,手术时间、住院时间和术中出血量均较少,并发症少,更为安全有效,具有临床推广价值。

Objective This paper tries to explore the clinical effect of laparoscopic cholecystectomy(LC)and small incision cholecystectomy for the treatment of early acute cholecystitis.Methods 92 patients with early acute cholecystitis from December 2014 to December 2016 were randomly divided into the control group and the observation group,with 46 patients in each group,and the control group was treated with small incision cholecystectomy.The patients in the observation group were treated with LC.The operation time,complications,hospitalization time and intraoperative blood loss were observed and compared between the two groups.Results Two groups of patients were cured after treatment.The time of operation,the time of hospitalization and the amount of intraoperative blood loss were(54.5±0.6)min,(3.6±0.4)d,(26.8±10.2)mL,the operation time and hospital stay was(63.9±1.4)min,(5.2±1.2)d,(32.5±15.8)mL respectively.The incidence of complications in the observation group was 6.52%(3/46);the incidence of complications in the control group was 26.09%(12/46).The data were statistically significant(P<0.05).Conclusion LC and small incision cholecystectomy can be used to treat early acute cholecystitis,but clinical treatment of LC for early acute cholecystitis is better,the operation time,hospital stay and intraoperative blood loss are less,with fewer complications,more safe and effective,with clinical promotion value.