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 the Efficacy of Early Laparoscopic Cholecystectomy and Delayed Laparoscopic Cholecystectomy in the Treatment of Acute Cholecystitis

目的急性胆囊炎选择早期腹腔镜胆囊切除术与延迟腹腔镜胆囊切除术治疗的效果比较。方法选择2016年1月—2020年7月共100例急性胆囊炎患者,随机数表法分为两组,延迟组50例接受延迟腹腔镜胆囊切除术治疗,早期组50例接受早期腹腔镜胆囊切除术治疗,比较手术结果。结果早期组术中出血量少于延迟组,手术时间、住院时间短于延迟组,差异有统计学意义(t=8.271、12.316、7.230,P<0.05)。早期组术后肠鸣音恢复、肛门恢复排气时间、首次排便及首次进食时间为(15.66±2.86)、(18.72±4.51)、(31.16±5.83)、(8.81±2.34)h,短于延迟组(21.36±3.66)、(25.44±5.17)、(40.62±7.49)、(11.24±3.07)h,差异有统计学意义(t=8.677、6.926、7.048、4.451,P<0.05)。早期组术后并发症发生率为8.00%,低于延迟组术后并发症发生率24.00%,差异有统计学意义(χ^(2)=4.762,P<0.05)。结论相较延迟腹腔镜胆囊切除术,急性胆囊炎患者选择早期腹腔镜胆囊切除术治疗可获得更好的手术效果,术后恢复更迅速,术后住院时间更短,同时能减少术后并发症。

Objective To compare the effects of early laparoscopic cholecystectomy and delayed laparoscopic cholecystectomy for acute cholecystitis.Methods A total of 100 patients with acute cholecystitis from January 2016 to July 2020 were selected and divided into two groups by random number table.50 patients in the delayed group received delayed laparoscopic cholecystectomy,and 50 patients in the early group received early laparoscopic treatment,cholecystectomy treatment,compare the results of surgery.Results The blood loss during operation in the early group was less than that in the delayed group,and the operation time and hospital stay were shorter than those in the delayed group,the difference was statistically significant(t=8.271,12.316,7.230,P<0.05).In the early group,postoperative bowel sound recovery,anal recovery exhaust time,first defecation and first eating time were(15.66±2.86)h,(18.72±4.51)h,(31.16±5.83)h,(8.81±2.34)h,which were shorter than delay group(21.36±3.66)h,(25.44±5.17)h,(40.62±7.49)h,(11.24±3.07)h,the difference was statistically significant(t=8.677,6.926,7.048,4.451,P<0.05).The postoperative complication rate of the early group was 8.00%,which was lower than the postoperative complication rate of 24.00%in the delayed group,the difference was statistically significant(χ^(2)=4.762,P<0.05).Conclusion Compared with delayed laparoscopic cholecystectomy,patients with acute cholecystitis who choose early laparoscopic cholecystectomy can obtain better surgical results,faster postoperative recovery,shorter postoperative hospital stay,and reduce postoperative complications disease.