SLC与急诊LC治疗急性胆囊炎的临床应用效果

Clinical Application of Elective Laparoscopic Cholecystectomy(SLC)and Emergency LC in the Treatment of Patients With Acute Cholecystitis

目的比较在急性胆囊炎疾病治疗中择期腹腔镜胆囊切除术(SLC)与急诊Lc治疗方法的临床应用效果。方法选取2017年1月-2019年5月在医院中进行急性胆囊炎治疗的患者共80例,采用掷骰子分组法,将掷出奇数的患者纳入到对照组,采用急诊Lc治疗方法;将掷出偶数的患者纳入到观察组,采用择期腹腔镜胆囊切除术(SLC)治疗方法。结果观察组手术时间高于对照组,出血>50 mL、中转开腹率、胆道损伤率、术后住院时间均低于对照组,并发症发生率比较观察组较对照组低(P<0.05)。结论在急性胆囊炎疾病治疗中,SLC治疗方法明显优于LC治疗方法,具有术中出血量少、创伤小、住院时间短、术后患者恢复快等优势,有助于帮助患者全面恢复健康,对提升疾病临床治疗效果意义显著。

Objective To compare the clinical application of elective laparoscopic cholecystectomy(SLC)and emergency Lc in the treatment of acute cholecystitis.Methods A total of 80 patients who underwent acute cholecystitis treatment in hospital from January 2017 to May 2019 were enrolled in the hospital.The odd-throwing patients were included in the control group and the emergency Lc treatment was used.Patients with even numbers were included in the observation group and elective laparoscopic cholecystectomy(SLC)was used.Results The operation time of the observation group was higher than that of the control group,the bleeding rate of>was 50 mL,the rate of conversion to laparotomy,the rate of biliary tract injury,and the postoperative hospital stay were all lower than those of the control group,and the incidence of complications was lower in the observation group than the control group(P<0.05).Conclusion In the treatment of acute cholecystitis,SLC treatment method is obviously superior to LC treatment method.It has the advantages of less intraoperative blood loss,less trauma,shorter hospitalization time,and faster postoperative recovery for patients,etc.,which is conducive to the overall recovery of patients and has significant significance in improving the clinical treatment effect of the disease.