比较早期腹腔镜胆囊切除术与延迟腹腔镜胆囊切除术治疗急性胆囊炎的疗效

Comparison of early laparoscopic cholecystectomy and delayed laparoscopic cholecystectomy in the treatment of acute cholecystitis

目的:比较早期腹腔镜胆囊切除术与延迟腹腔镜胆囊切除术治疗急性胆囊炎的疗效。方法:2018年3月-2020年3月收治急性胆囊炎患者84例,根据不同手术时机分为两组,各42例;对照组实施延迟腹腔镜胆囊切除术治疗,观察组实施早期腹腔镜胆囊切除术治疗,比较两组临床效果。结果:观察组术中出血量、手术时间、排气时间、住院时间、中转开腹率及并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论:与延迟腹腔镜胆囊切除术比较,早期腹腔镜胆囊切除术治疗急性胆囊炎效果更好,可有效减少术中出血量,降低中转开腹风险,降低并发症发生率,促进患者早日康复出院。

Objective:To compare the efficacy of early laparoscopic cholecystectomy and delayed laparoscopic cholecystectomy in the treatment of acute cholecystitis.Methods:From March 2018 to March 2020,84 patients with acute cholecystitis were selected,they were divided into the two groups according to different operation timings with 42 cases in each group.The control group was treated with delayed laparoscopic cholecystectomy.The observation group was treated with early laparoscopic cholecystectomy.We compared the clinical effects of the two groups.Results:The intraoperative blood loss,operation time,exhaust time,hospital stay,conversion to laparotomy and the incidence of complications in the observation group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with delayed laparoscopic cholecystectomy,early laparoscopic cholecystectomy is more effective in the treatment of acute cholecystitis,which can effectively reduce the amount of intraoperative bleeding,reduce the risk of conversion to laparotomy,reduce the incidence of complications and promote patients to recover and leave hospital as soon as possible.