腹腔镜与传统开腹术切除胆囊治疗急性胆囊炎疗效比较  

Clinical effect of laparoscopic cholecystectomy and open cholecystectomy on acute cholecystitis

作　　者：胡圣良[1] 翁胜 李来[1] 

机构地区：[1]六安市中医院普外科,237006

出　　处：《安徽医学》2011年第12期2022-2024,共3页Anhui Medical Journal

摘　　要：目的分析比较腹腔镜与传统开腹术切除胆囊治疗急性胆囊炎的临床疗效。方法将96例急性胆囊炎患者随机分为观察组和对照组,每组48例,观察组采用腹腔镜胆囊切除术(LC)治疗,对照组采用传统开腹胆囊切除术(OC)治疗,治疗过程中观察两组患者的术中平均出血量、平均手术时间、平均切口长度、平均住院时间及并发症情况。结果两组患者在平均出血量、平均手术时间、平均切口长度、平均住院时间、并发症发生率方面比较差异均有统计学意义(P<0.05),LC组患者的各项指标均低于OC组患者。结论腹腔镜胆囊切除术(LC)的综合疗效优于传统开腹胆囊切除术(OC),具有出血量少、手术时间短、住院时间短、手术切口小、术后并发症发生率低等优点,可作为胆囊切除的首选术式。Objective To observe and compare the clinical effect of laparoscopic cholecystectomy and open cholecystectomy on acute eholecystitis. Methods 96 patients with acute cholecystitis were divided randomly into treatment group （48 cases）and control group（48 cases）. Laparoscopic cholecystectomy were used in treatment group,while open cholecystectomy in control group. Average bleeding volume during surgery,average surgical operation time,average incision length,average hospitalization duration and side effect of both groups were observed. Results The average bleeding volume during surgery,average surgical operation time ,average incision length,average hospitalization duration and side effect in laparoscopic cholecystectomy group were significantly superior to those of open cholecysteetomy group （all P〈0.05 ）. Conclusion The clinical effect of laparoscopic cholecystectomy is safe, of high-performance and low-damage, which is superior to that of open cholecystectomy, thus can be the first choice of cholecystectomy.

关 键 词：腹腔镜胆囊切除术 开腹胆囊切除术 急性胆囊炎 

分 类 号：R657.4[医药卫生—外科学]