腹腔镜胆囊切除术治疗急性结石性胆囊炎的效果观察

Effect of laparoscopic cholecystectomy on acute calculous cholecystitis

目的 :观察用腹腔镜胆囊切除术治疗急性结石性胆囊炎的临床效果。方法 :从2016年9月至2018年9月期间在丹棱县人民医院就诊的急性结石性胆囊炎患者中选取60例患者作为研究对象。依据随机数表法将其分为研究组和对照组。采用开腹胆囊切除术对对照组患者进行治疗,采用腹腔镜胆囊切除术对研究组患者进行治疗。对比两组患者的临床疗效及术后并发症的发生情况。结果 :与对照组患者相比,研究组患者术中的出血量较小,其手术持续的时间、术毕至排气的时间、术毕至下床活动的时间及住院的时间均较短,治疗后其VAS评分较低,其ADL评分较高,其术后并发症的总发生率也较低,P <0.05。结论 :用腹腔镜胆囊切除术对急性结石性胆囊炎患者进行治疗的效果良好,可缩短其术后康复的时间,降低其术后并发症的发生率,减轻其疼痛的症状,并可提高其日常生活活动能力。

objective: to observe the clinical effect of laparoscopic cholecystectomy in the treatment of acute calculous cholecystitis. Methods: from September 2016 to September 2018, 60 patients with acute calculous cholecystitis were selected as research objects. They were divided into study group and control group according to random number table method. Patients in the control group were treated with open cholecystectomy and patients in the study group were treated with laparoscopic cholecystectomy. The clinical efficacy and postoperative complications of the two groups were compared. Results: compared with the control group, the study group had lower intraoperative blood loss, shorter operative duration, postoperative time to exhaust gas, postoperative time to get out of bed and hospitalization, lower VAS score, higher ADL score, and lower overall incidence of postoperative complications (P < 0.05). Conclusion: laparoscopic cholecystectomy is effective in the treatment of acute calculous cholecystitis, which can shorten the postoperative recovery time, reduce the incidence of postoperative complications, reduce the symptoms of pain, and improve the ability of daily life.