腹腔镜胆囊切除术治疗急性结石性胆囊炎的应用及预后分析

Application and prognosis analysis of laparoscopic cholecystectomy in the treatment of acute calculous cholecystitis

目的:探讨腹腔镜胆囊切除术治疗急性结石性胆囊炎的应用及预后。方法:2016年1月-2019年1月收治急性结石性胆囊炎患者76例,随机分为两组,各38例。常规组给予开腹手术,腹腔镜组采用腹腔镜胆囊切除术治疗。比较两组治疗效果。结果:两组手术成功率均为100%。腹腔镜组术后不同时间C反应蛋白水平、并发症发生率低于常规组,恢复肠鸣音时间、正常排气时间、术后止痛药物使用时间均短于常规组,差异均有统计学意义(P<0.05)。结论:急性结石性胆囊炎患者实施腹腔镜胆囊切除术治疗效果确切,可减轻不良应激与炎症反应,减少并发症,缩短术后恢复时间。

Objective:To investigate the application and prognosis of laparoscopic cholecystectomy for acute calculous cholecystitis.Methods:From January 2016 to January 2019,76 patients with acute calculous cholecystitis were treated,they were randomly divided into two groups,38 cases in each.The normal group was given open surgery,the laparoscopic group was treated with a laparoscopic cholecystectomy.Comparison of treatment effects between the two groups.Results:The success rate of operation in both groups was 100%.The monitoring value of C-reactive protein in laparoscopic group was lower than normal group at different time after operation.The recovery time of intestinal sound,the time of recovery of normal exhaust and the days of use of analgesic drugs after operation were shorter than the normal group.The incidence of complications of cholecystectomy is lower than the normal group,the difference was statistically significant(P<0.05).Conclusion:Laparoscopic cholecystectomy is effective in patients with acute calculous cholecystitis,which can reduce adverse stress,inflammatory reaction and complications,shorten the recovery time after operation.