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目的探讨腹腔镜下胆囊切除术治疗胆囊结石合并急性胆囊炎的临床疗效。方法 184例胆囊结石合并急性胆囊炎患者,随机分为观察组与对照组,各92例。对照组患者采用常规开腹手术治疗,观察组患者采用腹腔镜治疗,比较两组患者的手术指标,随访观察术后并发症情况。结果观察组患者术中出血量、术后胃肠功能恢复时间及住院天数均少于对照组,术后并发症发生率也明显低于对照组,组间比较差异均有统计学意义(P<0.05)。结论腹腔镜胆囊切除术治疗胆囊结石合并急性胆囊炎是安全可行的,值得临床推广使用。
Objective To investigate the clinical efficacy of laparoscopic cholecystectomy in the treatment of gallstone with acute cholecystitis. Methods A total of 184 patients with cholecystolithiasis and acute cholecystitis were randomly divided into observation group and control group, with 92 cases in each. The patients in the control group were treated by conventional laparotomy. The patients in the observation group were treated by laparoscopy. The operation indexes were compared between the two groups. The postoperative complications were followed up. Results The intraoperative blood loss, postoperative gastrointestinal function recovery time and days of hospitalization were less in the observation group than in the control group, and the incidence of postoperative complications was also significantly lower than that of the control group, with significant differences between the two groups (P < 0.05). Conclusion Laparoscopic cholecystectomy in the treatment of gallbladder stones complicated with acute cholecystitis is safe and feasible, worthy of clinical promotion and use.