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目的探讨急性胆囊炎患者应用腹腔镜进行胆囊切除治疗的临床疗效。方法选择2010年8月至2013年1月遂宁市中医院收治的急性胆囊炎患者48例,设为腹腔镜组,应用腹腔镜进行胆囊切除术。另选择同期收治的急性胆囊炎患者47例,设为对照组,应用传统的开腹胆囊切除术治疗。观察两组术中、术后的各指标的变化。结果腹腔镜组手术时间(70.5±30.3)min、术中出血量(50.7±10.4)ml、下床活动时间(11.0±5.0)h、胃肠活动时间(1.5±0.6)d、平均住院时间(5.0±2.6)d等指标均明显少于对照组(P<0.05);腹腔镜组患者术后并发症发生率为8.00%,低于对照组的16.98%(P<0.05)。结论腹腔镜胆囊切除术治疗急性胆囊炎临床疗效显著、创伤小、患者痛苦小、术后恢复快,术者应严格掌握手术适应症,熟练掌握腹腔镜的基本操作和技巧。
Objective To investigate the clinical effect of laparoscopic cholecystectomy in patients with acute cholecystitis. Methods Forty-eight patients with acute cholecystitis admitted from Suining Hospital of Traditional Chinese Medicine from August 2010 to January 2013 were selected as laparoscopic group and laparoscopic cholecystectomy. Another choose the same period of acute cholecystitis admitted in 47 patients, as the control group, the application of traditional open cholecystectomy. The changes of each index during operation and after operation were observed. Results The laparoscopic operation time (70.5 ± 30.3) min, intraoperative blood loss (50.7 ± 10.4) ml, ambulation time (11.0 ± 5.0) h, gastrointestinal activity time (1.5 ± 0.6) d, average length of hospital stay 5.0 ± 2.6) d and other indexes were significantly less than those in the control group (P <0.05). The incidence of postoperative complications in the laparoscopic group was 8.00%, which was lower than 16.98% in the control group (P <0.05). Conclusion Laparoscopic cholecystectomy in the treatment of acute cholecystitis significant clinical effect, small trauma, patients with small pain, fast recovery, the surgeon should be strictly surgical indications, proficiency in laparoscopic basic skills and operation.