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目的对比观察腹腔镜与开腹手术治疗急性胆囊炎的临床疗效。方法回顾分析2004至2007年185例急性胆囊炎手术治疗效果及预后,其中90例行腹腔镜胆囊切除术(LC),95例行开腹胆囊切除术(OC),对比两组患者术中、术后及并发症发生情况。结果185例患者手术均成功,LC组比OC组可显著缩短手术时间、住院时间、术后下床活动时间和术后排气时间,显著减小患者创伤,减少切口感染率、残余脓肿发生率和止痛药的使用率(P<0.05或P<0.01)。结论LC和OC相比,具有创伤小、恢复快、并发症少和平均住院时间短等优点,是较为理想治疗急性胆囊炎的手术方式。
Objective To compare the clinical effects of laparoscopy and laparotomy in the treatment of acute cholecystitis. Methods Retrospective analysis of 185 cases of acute cholecystitis between 2004 and 2007 surgical treatment and prognosis, of which 90 cases of laparoscopic cholecystectomy (LC), 95 cases of open cholecystectomy (OC), compared two groups of patients during surgery, Postoperative and complications occurred. Results All of the 185 cases were successfully operated. LC group was significantly shorter than OC group in operation time, hospital stay, postoperative ambulation time and postoperative exhaust time, significantly reducing trauma, incision infection, residual abscess rate And painkiller use rates (P <0.05 or P <0.01). Conclusion Compared with OC, LC has the advantages of less trauma, faster recovery, less complications and shorter average length of stay, which is an ideal surgical method for the treatment of acute cholecystitis.