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目的观察腹腔镜胆囊切除术治疗急性发作期胆囊炎的临床效果。方法选取医院收诊的急性发作期胆囊炎患者50例,按照入院先后顺序分为观察组和对照组,每组25例。观察组采用腹腔镜胆囊切除术治疗,对照组按照常规开腹手术治疗,观察2组患者住院时间、术中出血量及术后并发症发生情况。结果观察组住院时间为(6.12±1.02)d,短于对照组的(8.69±1.98)d(P<0.01)。观察组术后并发症发生率为16.00%,低于对照组的36.00%(P<0.05)。观察组术后出血量为(40.15±1.76)ml,少于对照组的(63.74±1.98)ml(P<0.01)。结论腹腔镜胆囊切除术治疗急性发作期胆囊炎,可实现对术中出血量及术后并发症的有效控制,达到缩短住院时间的效果。
Objective To observe the clinical effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis. Methods Fifty patients with acute cholecystitis admitted to hospital were divided into observation group and control group according to the order of admission, with 25 cases in each group. The observation group was treated by laparoscopic cholecystectomy, and the control group was treated by conventional laparotomy. The length of hospital stay, intraoperative blood loss and postoperative complications were observed in the two groups. Results The length of stay in the observation group was (6.12 ± 1.02) d, shorter than that in the control group (8.69 ± 1.98) d (P <0.01). The incidence of postoperative complications in the observation group was 16.00%, which was lower than that in the control group (36.00%, P <0.05). The bleeding volume in the observation group was (40.15 ± 1.76) ml less than that in the control group (63.74 ± 1.98) ml (P <0.01). Conclusions Laparoscopic cholecystectomy in the treatment of acute cholecystitis can effectively control the intraoperative blood loss and postoperative complications and shorten the length of hospital stay.