腹腔镜下胆囊切除术治疗急性胆囊炎的效果分析

Effect of Laparoscopic Cholecystectomy in the Treatment of Acute Cholecystitis

目的 研究以腹腔镜下胆囊切除术治疗急性胆囊炎的效果。方法 回顾性分析2019年1月—2023年5月江苏省连云港市赣榆区中医院普外科62例急性胆囊炎患者的临床资料,按手术类型的不同分为对照组和观察组,每组31例,对照组行开腹胆囊切除术,观察组行腹腔镜下胆囊切除术,比较两组患者手术情况、炎症因子,治疗效果和并发症发生率。结果 观察组手术及功能恢复用时均短于对照组,出血量少于对照组、疼痛评分低于对照组,差异有统计学意义(P均<0.05);观察组术后3 d的C反应蛋白、白细胞介素-6及肿瘤坏死因子-α均低于对照组,差异有统计学意义(P均<0.05);观察组总有效率100.00%高于对照组,并发症发生率6.45%低于对照组,差异有统计学意义(χ^(2)=4.613、5.415、P<0.05)。结论 接受腹腔镜下胆囊切除术,可帮助急性胆囊炎患者迅速恢复消化功能、消除炎症反应,具有用时短、更安全、伤口小、痛感轻、并发症少、疗效显著等优势。

Objective To study the effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis.Methods Clinical data of 62 patients with acute cholecystitis in the Department of General Surgery in Ganyu District Hospital of Traditional Chinese Medicine of Lianyungang,Jiangsu Province from January 2019 to May 2023 were retrospectively analyzed and divided into two groups according to different surgical types,with 31 cases in each group.The control group underwent open cholecystectomy,and the observation group underwent laparoscopic cholecystectomy.The surgical conditions,inflammatory factors treatment effect and complication rate of the two groups were compared.Results The time of operation and functional recovery in the observation group were shorter than that in the control group,the blood loss was less than that in the control group,and the pain score was lower,the difference was statistically significant(all P<0.05).The levels of C-reactive protein,interleukin-6 and tumor necrosis factor-αin the observation group were lower than those in the control group 3 days after surgery,the differences were statistically significant(all P<0.05).The total effective rate of the observation group was 100.00%higher than that of the control group,and the complication rate of 6.45%was lower than that of the control group,the differences were statistically significant(χ^(2)=4.613,5.415,P<0.05).Conclusion Laparoscopic cholecystectomy can help patients with acute cholecystitis quickly recover digestive function and eliminate inflammation,with the advantages of shorter time,safer,smaller wound,less pain,fewer complications,and significant curative effect.