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目的:探讨腹腔镜胆囊切除术在急性胆囊炎中的临床治疗效果及其应用价值。方法:于2011年6月至2015年6月期间,选取我院行腹腔镜胆囊切除术治疗的82例急性胆囊炎患者作为治疗组,另选同期收治的行开腹胆囊切除术治疗的80例急性胆囊炎患者作为对照组,经临床手术和相应处理后,对比分析两种不同手术方案在急性胆囊炎临床治疗中的应用效果。结果:治疗组患者手术时间、术中出血量、下床活动时间以及住院时间等多项指标情况均优于对照组(P<0.05),多项数据比较均存在明显统计学差异。同时,治疗组患者术后并发症发生率为9.8%,与对照组患者的35.0%相比,P<0.05,统计学意义显著。结论:急性胆囊炎采用腹腔镜胆囊切除术治疗,能够有效缩短患者手术时间、下床活动时间以及住院时间等,并减少其术中出血量,降低患者术后并发症发生率,治疗效果显著,值得临床推广。
Objective: To investigate the clinical effect and clinical value of laparoscopic cholecystectomy in acute cholecystitis. Methods: From June 2011 to June 2015, 82 patients with acute cholecystitis undergoing laparoscopic cholecystectomy in our hospital were selected as the treatment group. Another 80 patients undergoing open cholecystectomy during the same period were enrolled in this study. Acute cholecystitis patients as a control group, after clinical surgery and corresponding treatment, comparative analysis of two different surgical options in the clinical treatment of acute cholecystitis effect. Results: The operation time, intraoperative blood loss, time of bed ambulation and length of hospital stay in the treatment group were all better than those in the control group (P <0.05). There were significant statistical differences in many data sets. At the same time, the incidence of postoperative complications in the treatment group was 9.8%, which was significantly lower than that in the control group (35.0%) (P <0.05). Conclusions: Acute cholecystitis treated with laparoscopic cholecystectomy can shorten the operation time, ambulation time and hospital stay, reduce the intraoperative blood loss, reduce the incidence of postoperative complications, the treatment effect is significant, Worth clinical promotion.