急性坏疽性胆囊炎行腹腔镜治疗的效果研究

The effect of laparoscopic treatment on acute gangrenous cholecystitis

目的:探讨急性坏疽性胆囊炎行腹腔镜治疗的效果研究。方法:74例急性坏疽性胆囊炎患者在2018年6月-2019年6月在东莞市人民医院肝胆外科行腹腔镜治疗,随机分为两组,对照组行传统开腹胆囊切除术,观察组行腹腔镜下胆囊切除术,比较两组患者的临床疗效、各项手术及恢复指标、并发症发生率。结果:观察组治疗总有效率为100%(37/37),明显高于对照组的81.08%(30/37)(P<0.05);观察组手术时间、术中出血量、肛门排气时间、住院时间均明显少于对照组(P<0.05);观察组腹腔感染、切口感染、胆漏、败血症等并发症发生率明显低于对照组(P<0.05)。结论:急性坏疽性胆囊炎行腹腔镜治疗的效果显著,手术创伤小,术后并发症发生率低,恢复速度快,恢复效果好,具有积极的临床意义。

Objective:To investigate the effect of laparoscopic treatment on acute gangrenous cholecystitis.Methods:74 patients with acute gangrenous cholecystitis from June 2018 to June 2019 received liver and gallbladder surgery laparoscopic treatment in Dongguan Peoples Hospital were randomly divided into two groups,and the control group received the traditional open cholecystectomy,while the observation group received laparoscopic cholecystectomy,and the clinical efficacy,surgery and recovery index,and complications of two groups of patients were compared.Results:The effective rate of the observation group was 100%(37/37),which was significantly higher than that of the control group 81.08%(30/37)(P<0.05).The operation time,intraoperative blood loss,anal exhaust time and hospital stay in the observation group were significantly less than those in the control group(P<0.05).The incidence of abdominal infection,incision infection,bile leakage,sepsis and other complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Laparoscopic treatment has significant effect on acute gangrenous cholecystitis,and it has small surgical trauma,low incidence of postoperative complications,rapid recovery,good recovery effect,and positive clinical significance.