腹腔镜胆囊切除术治疗急性结石性胆囊炎的临床效果观察  

Clinical effect observation of laparoscopic cholecystectomy in the treatment of acute calculous cholecystitis

作　　者：宋磊[1] 刘绥杰[1] 梁鲁[1] 姚碧辉[1] 黄原[1] 

机构地区：[1]包头市中心医院普外二科,包头014040

出　　处：《中国当代医药》2015年第8期26-28,31,共4页China Modern Medicine

摘　　要：目的探讨腹腔镜胆囊切除术治疗急性结石性胆囊炎的临床效果。方法选取本院普外科2012年11月-2014年10月收治的86例急性结石性胆囊炎患者,根据患者接受的手术方式不同分为对照组（42例）和研究组（44例）,其中对照组实施开腹胆囊切除术,研究组实施腹腔镜胆囊切除术。记录两组患者的胃肠道功能。结果研究组排气恢复正常时间为（23.6±4.0）h,早于对照组的（48.1±6.3）h,差异有统计学意义（P〈0.05）;研究组肠鸣音恢复正常时间为（10.8±1.9）h,早于对照组的（24.9±4.6）h,差异有统计学意义（P〈0.05）。两组患者入院当天和手术前1 d的C-反应蛋白值差异无统计学意义（P〉0.05）;研究组术后24、48 h的C-反应蛋白值分别为（3273.9±29.3）、（3513.9±31.2）μg/L,均低于对照组的（6314.5±40.2）、（6527.2±42.7）μg/L,差异有统计学意义（P〈0.05）。结论腹腔镜胆囊切除术治疗急性结石性胆囊炎,相较于开腹胆囊切除术,有助于胃肠道功能快速恢复正常,且对机体创伤性较小,利于病情及早康复。Objective To explore the clinical effect of laparoscopie cholecystectomy in the treatment of acute calculous cholecystitis. Methods 86 eases of patients with acute calculous eholeeystitis treated in our hospital form November 2012 to October 2014 were selected,and were divided into control group （42 cases） and study group （44 cases） accord- ing to the different treatment method.Open eholeeysteetomy was taken to the control group,laparoseopie eholeeysteetomy was given to the study group.The gastrointestinal tract of two groups was recorded. Results The anal exhaust recovery time of study group was （23.6±4.0） h,was shorter than （48.1±6.3） h of the control group,the difference was significant （P〈0.05）.The recovery time of bowel sound of study group was （10.8±1.9） h,was shoter than （24.9±4.6） h of the control group, the difference was significant （P〈0.05）.There was no significant difference about C-reactive protein between the two groups at the day of admission and 1 day before surgery （P〉0.05）.The C-reactive protein of study group was （3273.9±29.3）,（3513.9±31.2） g/L after 24 hours and 48 hours treatment,which was lower than （6314.5±40.2）,（6527.2± 42.7） g/L of the control group,the difference was significant （P〈0.05）. Conclusion Compared with open cholecysteeto- my,laparoscopic eholeeysteetomy in the treatment of acute calculous choleeystitis can help to quickly restore normal gastrointestinal function,and has less traumatic to the body,which will help to early recovery the disease.

关 键 词：急性结石性胆囊炎 腹腔镜胆囊切除术 胃肠道功能 C-反应蛋白 

分 类 号：R575.61[医药卫生—消化系统]