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目的观察腹腔镜切除术与开腹手术治疗急性结石性胆囊炎的临床效果。方法选取在本院治疗的急性结石性胆囊炎患者60例,根据手术方式的不同分为2组,各30例。对照组采用传统开腹手术,观察组采用腹腔镜切除手术,比较手术效果。结果对比手术时间、术中出血量、排气时间、疼痛评分、下床活动时间、住院天数等指标,观察组均比对照组少(P<0.05),差异有统计学意义;对比术后并发症发生率,观察组远低于对照组(P<0.05),差异有统计学意义。结论腹腔镜手术对急性结石性胆囊炎疗效确切,术后康复快,值得在临床推广应用。
Objective To observe the clinical effects of laparoscopic and open surgery for acute calculous cholecystitis. Methods Sixty patients with acute calculous cholecystitis who were treated in our hospital were selected and divided into two groups (30 cases) according to the different surgical methods. In the control group, the traditional laparotomy was performed. The observation group was treated by laparoscopic surgery. The operative effect was compared. Results Compared with the control group, the observation group were less than the control group (P <0.05), the operation time, intraoperative blood loss, exhaust time, pain score, out of bed activity time, hospitalization days and other indicators compared with the control group, the difference was statistically significant; The incidence of disease in observation group was much lower than that in control group (P <0.05), the difference was statistically significant. Conclusion Laparoscopic surgery for acute calculous cholecystitis exact effect, rapid recovery after surgery, it is worth in the clinical application.