腹腔镜与开腹胆囊切除治疗早期急性胆囊炎的疗效对比研究  

Comparison of therapeutic efficacy between laparoscopic and open cholecystectomy for patients with acute cholecystitis

作　　者：肖毅[1] 任彦顺[1] 许树林[1] 张美妮 范瑞芳[1] 

机构地区：[1]兰州军区兰州总医院 [2]解放军68232部队卫生队

出　　处：《西北国防医学杂志》2015年第3期150-152,共3页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的:比较腹腔镜胆囊切除术与开腹胆囊切除术治疗急性胆囊炎的疗效。方法:将118例急性胆囊炎患者随机分为腹腔镜组和开腹组,观察两组患者术中情况、术后恢复情况及并发症发生情况。结果:行腹腔镜胆囊切除术患者的手术时间、术中出血量、术后引流量、术后肛门排气时间、术后下床时间、总住院时间均明显低于开腹胆囊切除术组(P<0.05);两组术后并发症发生率无明显差异(P>0.05)。结论:腹腔镜胆囊切除术是急性胆囊炎早期可行的手术方式。Objective：To evaluate the effect of laparoscopic cholecystectomy（LC）and open cholecystectomy（OC）in the treatment of acute cholecystitis.Methods：A total of 118 patients with acute cholecystitis were treated by LC（n=60）and OC（n=58）.The intraoperative findings,postoperative recovery and complications were compared between the two groups.Results：The operative time,gastrointestinal function recovery time,out-of-bed ambulation time and hospital stay in LC group were significantly shorter than those in OC group（P〈0.05）,and the intraoperative blood loss and postoperative drainage volume were obviously fewer（P〈0.05）.There was no markedly difference in postoperative complications between the two groups（P〈0.05）.Conclusion：LC is a feasible and satisfactory treatment method for early acute cholecystitis.

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]