腹腔镜胆囊切除术治疗急性胆囊炎临床疗效及安全性分析

Analysis of Clinical Efficacy and Safety of Laparoscopic Cholecystectomy for Acute Cholecystitis

目的探究腹腔镜胆囊切除术治疗急性胆囊炎临床治疗效果及安全性。方法选定该院于2014年7月—2019年7月期间治疗的232例急性胆囊炎患者参与该次研究,分组以奇偶法完成,参照组实施常规胆囊开腹切除术(n=116),研究组实施腹腔镜胆囊切除术(n=116)。对比分析两组患者接受手术后的各项手术指标变化及并发症的发展情况。结果两组患者的术中出血量[(94.29±10.27)mL vs(56.37±13.93)mL]、手术时间[(87.18±13.59)min vs(71.42±14.62)min]、术后下床时间[(33.20±3.51)h vs(27.39±4.07)h];住院时间[(11.04±1.42)d vs(7.57±1.05)d]对比,研究组均较参照组更少,差异有统计学意义(t=23.598、8.504、11.643、21.162,P<0.05);研究组的并发症出现率为8.62%,参照组为26.72%,较参照组而言研究组更低,差异有统计学意义(χ^2=13.065,P<0.001)。结论腹腔镜胆囊切除术能够帮助急性胆囊炎患者更快的恢复,降低了并发症的出现几率,有着较高的安全性。

Objective To explore the clinical efficacy and safety of laparoscopic cholecystectomy for acute cholecystitis.Methods A total of 232 patients with acute cholecystitis treated in the hospital from July 2014 to July 2019 were selected to participate in this study. The patients were divided into two groups and completed by the odd-even method.The reference group was subjected to conventional cholecystectomy(n=116). The study group performed laparoscopic cholecystectomy(n=116). The changes of various surgical indicators and the development of complications after the two groups of patients were compared and analyzed. Results The intraoperative blood loss of the two groups of patients[(94.29±10.27)mL vs(56.37±13.93)mL];the operation time[(87.18±13.59)min vs(71.42±14.62)min];the postoperative bed time [(33.20 ±3.51)h vs(27.39 ±4.07)h];hospital stay [(11.04 ±1.42)d vs(7.57 ±1.05)d] were compared, the study group was less than the reference group,and the difference was satistically significant(t=23.598, 8.504, 11.643, 21.162,P<0.05);the complication rate of the study group was 8.62%, and the reference group was 26.72%, which was lower in the study group than the reference group,and the difference was satistically significant(χ^2=13.065,P<0.001). Conclusion Laparoscopic cholecystectomy can help patients with acute cholecystitis recover faster, reduce the incidence of complications, and has a higher safety.