腹腔镜胆囊切除术对胆囊结石伴急性胆囊炎患者的影响

Effect of Laparoscopic Cholecystectomy on Patients with Gallbladder Stones Accompanied by Acute Cholecystitis

目的分析胆囊结石伴急性胆囊炎采用腹腔镜胆囊切除术的影响。方法选取2022年1月—2023年6月盐城市第六人民医院收治的76例胆囊结石伴急性胆囊炎患者为研究对象,按照随机数表法分为研究组和对照组,各38例,研究组用腹腔镜胆囊切除术,对照组用传统开腹胆囊切除术,对比两组手术指标,胃肠功能恢复情况以及并发症发生情况。结果研究组手术时间、术中出血量、术后首次活动时间、住院时间分别为(95.22±3.22)min、(42.22±3.22)mL、(21.35±2.13)min、(6.74±2.30)d,均优于对照组,差异有统计学意义(t=22.849、18.637、17.647、7.800,P均<0.05);研究组肛门首次排气、肠鸣音恢复、正常排便、正常进食等时间分别为(1.53±0.51)d、(20.30±4.65)min、(1.81±0.30)d、(1.23±0.58)d,均优于对照组,差异有统计学意义(t=7.810、8.431、9.509、11.961,P均<0.05);研究组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜胆囊切除术治疗胆囊结石伴急性胆囊炎,患者恢复较快,并发症较少。

Objective To analyze the impact of laparoscopic cholecystectomy for gallbladder stones accompanied by acute cholecystitis.Methods A total of 76 patients with cholecystolithiasis with acute cholecystitis admitted to Yancheng Sixth People's Hospital from January 2022 to June 2023 were selected as the study objects.According to random number table method,they were divided into study group and control group,with 38 cases in each group.Laparoscopic cholecystectomy was performed in the study group and traditional open cholecystectomy was performed in the control group.The surgical indicators,recovery of gastrointestinal function and complications were compared be⁃tween the two groups.Results The operation time,intraoperative blood loss,first postoperative activity time and hospi⁃tal stay of the study group were(95.22±3.22)min,(42.22±3.22)mL,(21.35±2.13)min and(6.74±2.30)d,respectively,which were all better than those of the control group,the difference were statistically significant(t=22.849,18.637,17.647,7.800,all P<0.05).The time of first anal exhaust,bowel sound recovery,normal defecation and normal feed⁃ing in the study group were(1.53±0.51)d,(20.30±4.65)min,(1.81±0.30)d and(1.23±0.58)d,respectively,which were better than those in the control group,the difference were statistically significant(t=7.810,8.431,9.509,11.961,all P<0.05).The total complication rate of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic cholecystectomy in the treatment of cholecystolithiasis with acute cholecystitis has a faster recovery and fewer complications.