腹腔镜切除术与传统开腹手术治疗急性结石性胆囊炎的疗效观察

Clinical Observation of Laparoscopic Cholecystectomy and Traditional Open Cholecystectomy in the Treatment of Acute Calculous Cholecystitis

目的本次试验将对比腹腔镜切除术与传统开腹手术在治疗急性结石性胆囊炎过程中所发挥的作用,对临床治疗效果进行切实分析。方法本次试验选取了2019年1月至2019年7月前来本院就诊的患者,其均为急性结石性胆囊炎,在自愿参与试验调查的基础上选取了128例患者作为调研对象。在分组上,为了保证公平性为随机分组。对照组患者采用传统开腹手术措施,观察组则为腹腔镜切除术,对比患者的治疗结局。结果从治疗质量上看,观察组患者在手术用时、术中出血量以及住院时间上均短于对照组,组间差异显著。其次,在C反应蛋白水平值上,观察组为(56.80±7.70)mg/L,对照组为(91.40±16.50)mg/L,组间对比差异较为显著,具有统计学意义(P<0.05)。与此同时,治疗期间的并发症调查上,观察组患者的发生率为4.69%,明显低于对照组的15.63%,因此,我们认为观察组治疗方案更佳。最后,我们对患者进行了手术治疗的满意度调查,观察组患者满意率为95.31%,对照组则为87.50%。结论采用腹腔镜切除术能够更好地为急性胆结石性胆囊炎患者提供治疗支持,有利于缩短治疗用时,节约手术时间,其次,在并发症上有效地避免感染、粘连问题,极大的为患者的康复治疗提供医疗服务。患者的治疗满意度高,值得推广应用。

Objective This experiment will compare the effect of laparoscopic cholecystectomy and traditional laparotomy in the treatment of acute calculous cholecystitis,and analyze the clinical effect.Methods This experiment selected 128 patients who came to our hospital from January 2019 to July 2019,all of them were acute calculous cholecystitis,and selected 128 patients as research subjects on the basis of voluntary participation in the experimental investigation.In grouping,in order to ensure fairness,it is random grouping.Patients in the control group were treated with traditional laparotomy,while those in the observation group were treated with laparoscopic resection.Result From the quality of treatment,the operation time,bleeding volume and hospitalization time of the patients in the observation group were shorter than those in the control group,and the difference between the two groups was significant.Secondly,in the level of C-reactive protein,the observation group was(56.80±7.70)mg/L and the control group was(91.40±16.50)mg/L.There was a significant difference between the two groups(P<0.05).At the same time,in the investigation of complications during the treatment period,the incidence of patients in the observation group was 4.69%,which was significantly lower than the 15.63%in the control group.Therefore,we believe that the observation group has a better treatment plan.Finally,we conducted a satisfaction survey of patients with surgical treatment.The satisfaction rate of the observation group was 95.31%,and that of the control group was 87.50%(P<0.05).Conclusion Laparoscopic cholecystectomy can provide better treatment support for patients with acute gallstone cholecystitis.It can shorten the treatment time and save the operation time.Secondly,it can effectively avoid infection and adhesion in complications and provide medical services for patients'rehabilitation treatment.The patient's treatment satisfaction is high,which is worthy of popularization and application.