腹腔镜技术辅助下治疗急性胆囊炎的临床研究

Clinical Study of Laparoscopic Assisted Treatment of Acute Cholecystitis

目的 探讨临床治疗急性胆囊炎采取腹腔镜胆囊切除术的效果。方法 随机选取2021年1—12月如东县中医院收诊的100例急性胆囊炎患者为研究对象,按随机数表法分为对照组和观察组,各50例。对照组采取抗感染联合利胆药物保守方式,观察组采取腹腔镜下胆囊切除术联合抗感染、利胆药物方式。观察对比两组治疗效果,检测两组患者治疗前后炎症指标;观察两组患者出现的并发症,统计总发生率;对患者进行为期3个月的随访,评估治疗前后患者生活质量,分析变化。结果 观察组急性胆囊炎患者治疗总有效率为96.00%高于对照组,差异有统计学意义(χ~2=6.061,P<0.05);观察组治疗后各炎症指标均低于对照组,差异有统计学意义(P<0.05);两组患者治疗后并发症总发生率组间比较,差异无统计学意义(P>0.05);随访3个月生活质量评估结果显示,观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论 临床治疗急性胆囊炎疾病首选腹腔镜下胆囊切除术式,相比保守药物治疗效果更理想,有效减轻患者炎症反应,提高生活质量。

Objective To investigate the effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis.Methods A total of 100 patients with acute cholecystitis admitted to Rudong Hospital of Traditional Chinese Medicine from January to December 2021 were randomly selected as the research objects.According to the random number table method,they were divided into control group and observation group,with 50 cases in each group.The control group was treated with anti-infection combined with choledocholithiasis,and the observation group was treated with laparoscopic cholecystectomy combined with anti-infection and choledocholithiasis.The therapeutic effects of the two groups were observed and compared,and the inflammatory indicators of the two groups before and after treatment were detected.The complications of the two groups were observed,and the total incidence was counted.The patients were followed up for 3 months to evaluate the quality of life before and after treatment and analyze the changes.Results The total effective rate of the observation group 96.00% was higher than that of the control group,and the difference was statistically significant(χ~2=6.061,P<0.05).After treatment,the inflammatory indexes of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of complications after treatment between the two groups(P>0.05).After 3months of follow-up,the quality of life assessment results showed that the quality of life score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic cholecystectomy is the first choice for the clinical treatment of acute cholecystitis,which has a better effect than conservative drug treatment,effectively reduces the inflammatory response of patients and improves the quality of life,and is worth promoting.