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目的观察小切口开腹胆囊切除术治疗急性结石性胆囊炎的临床疗效。方法回顾我院从2014年6至2015年12月收治的62例均采用小切口开腹胆囊切除术进行治疗的急性结石性胆囊炎患者的临床资料,分析手术时间、术中出血量、输液天数、切口长度、活动时间、住院时间、治疗费用、并发症以及治疗效果。结果经治疗后,患者的治疗总有效率为96.77%(60/62),患者平均手术时间为(32.43±2.46)min、术中出血量为(91.82±21.24)ml、输液天数为(3.14±2.23)d、切口长度为(4.21±0.46)cm、活动时间为(9.15±2.12)d、住院时间为(7.15±2.52)d、治疗费用为(4056.55±267.02)元,在治疗期间仅有2例患者并发切口感染症。结论小切口开腹胆囊切除术治疗急性结石性胆囊炎的临床效果满意,对身体损伤小且安全性高,可有效缩短恢复时间,治疗费用少,可作为临床治疗急性结石性胆囊炎的优选方法。
Objective To observe the clinical effect of small incision and open cholecystectomy in the treatment of acute calculous cholecystitis. Methods The clinical data of 62 patients with acute calculous cholecystitis treated with small incision and open cholecystectomy from June 2014 to December 2015 in our hospital were retrospectively analyzed. The operative time, intraoperative blood loss, infusion days , Incision length, duration of activity, length of stay, cost of treatment, complications and treatment. Results After treatment, the total effective rate was 96.77% (60/62). The average operation time was (32.43 ± 2.46) min. The blood loss was (91.82 ± 21.24) ml and the number of infusion days was (3.14 ± 2.23) d, length of incision was (4.21 ± 0.46) cm, activity time was (9.15 ± 2.12) days, hospitalization time was (7.15 ± 2.52) days, treatment cost was (4056.55 ± 267.02) yuan, Cases of patients with incisional infection. Conclusion Small incision and open cholecystectomy for acute calculous cholecystitis have satisfactory clinical results, small body injury and high safety, which can effectively shorten the recovery time and reduce the cost of treatment. It can be used as the preferred method for clinical treatment of acute calculous cholecystitis .