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目的比较腹腔镜胆囊切除术(LC)与开腹胆囊切除术(OC)治疗急性胆囊炎的临床效果。方法 126例急性胆囊炎患者,随机分为OC组(行开腹胆囊切除术治疗)和LC组(行腹腔镜胆囊切除术治疗),各63例。比较两组手术治疗相关指标及并发症发生情况。结果 LC组术中出血量、手术时间、术后腹腔引流量、下床活动时间、肛门排气时间、住院时间均优于OC组(P<0.05)。LC组术后并发症发生率为7.94%、OC组为20.63%,LC组低于OC组(χ2=4.148,P<0.05)。结论与传统OC比较,LC治疗急性胆囊炎具有恢复快、术后并发症少等优点。
Objective To compare the clinical effects of laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) in the treatment of acute cholecystitis. Methods 126 cases of acute cholecystitis were randomly divided into OC group (open cholecystectomy) and LC group (laparoscopic cholecystectomy), 63 cases in each. The two groups of surgery-related indicators and complications were compared. Results The bleeding volume, operation time, postoperative abdominal drainage volume, ambulation time, anal exhaust time and hospital stay in LC group were better than those in OC group (P <0.05). The incidence of postoperative complications in LC group was 7.94%, in OC group was 20.63%, in LC group was lower than that in OC group (χ2 = 4.148, P <0.05). Conclusion Compared with the traditional OC, LC treatment of acute cholecystitis with rapid recovery, less postoperative complications.