腹腔镜胆囊切除术治疗急性胆囊炎疗效分析  

The Clinical Analysis of Laparoscopic Cholecystectomy on Acute Cholecystitis

作　　者：法镇中[1] 谭玉林[1] 闵震宇[1] 奚剑波[1] 严国度[1] 

机构地区：[1]江苏大学附属武进人民医院,江苏常州213002

出　　处：《中外医学研究》2013年第31期9-11,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨腹腔镜胆囊切除术治疗急性胆囊炎的临床疗效。方法:选择2010年1月-2012年12月笔者所在医院收治的急性胆囊炎患者60例为研究对象,按照治疗方式随机分为LC组(行腹腔镜胆囊切除术)和OC组(行开腹胆囊切除术),比较两组患者的临床效果。结果:LC组术中出血量、术后排气时间以及住院时间均少于OC组(P<0.05);LC组并发症发生率3.3%,OC组并发症发生率23.3%,LC组并发症的发生率明显低于OC组(P<0.05)。结论:腹腔镜胆囊切除术治疗急性胆囊炎损伤小、恢复快、可显著改善患者的预后,是一种安全可靠的治疗方式。Objective： To evaluate the clinical efficacy of laparoscopic eholecystectomy on acute cholecystitis.Method： A total of 60 patients with acute cholecystitis in our hospital from Juarary 2010 to December 2012 were divided into the LC group（Laparoscopic Cholecystectomy） and the OC group（Open Cholecystectomy）.The clinical efficacy of the two groups was compared.Result： Pefioperative indicators of the LC group, includes the volume of blood loss, the gastrointestinal function recovery time and hospital time, were significantly better than the OC group（P〈0.05）.The incidence of complications in the LC group was 3.3%.The incidence of complications in the OC group was 23.3%.The incidence of complications in the LC group was significaJady lower than the OC group（P〈0.05）. However, there was no difference significantly on operative time between the LC group and the OC group（P〉0.05）.Conelusion： Laparoscopic cholecystectomy in the treatment of acute choleeystitis can help patients to recover quickly.It is a safe and reliable way in the treatment of acute cholecystitis.

关 键 词：腹腔镜胆囊切除术 急性胆囊炎 开腹胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]