腹腔镜与开腹胆囊切除术治疗急性胆囊炎的临床效果观察  

Clinical investigation of laparoscopic and open cholecystectomy in treating patients with acute cholecystitis

作　　者：皮勇[1] 王玲[1] 李晓刚[1] 

机构地区：[1]襄阳市中心医院普外科,湖北省441021

出　　处：《中华普外科手术学杂志（电子版）》2015年第5期39-41,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：目的探讨急性胆囊炎患者采用腹腔镜胆囊切除术(LC)与开腹胆囊切除术(OC)治疗的临床效果及安全性。方法回顾性分析2012年8月至2014年6月收治的84例急性胆囊炎患者的病例资料,根据手术方式分为LC组(47例)、OC组(37例),观察并记录两组患者的术中术后情况,所有数据在SPSS10.0中进行统计分析,手术时间、术中出血量、胃肠减压时间、术后排气时间、住院时间等计量资料以(x珋±s)表示,采用两样本独立t检验;术后并发症发生率、术后镇痛剂使用情况采用卡方检验,P<0.05表示差异具有统计学意义。结果 LC组患者的手术时间(44.6±11.4)min、术中出血量(65.8±12.5)ml、胃肠减压时间(2.2±0.5)d、术后排气时间(1.2±0.6)d、术后镇痛剂使用率31.91%(15/47)、住院时间(4.2±1.6)d均显著小于OC组,差异均有统计学意义(P<0.05);两组患者均未发生死亡病例,LC组术后并发症发生率14.89%(7/47)低于OC组的16.22%(6/37),差异无统计学意义(P>0.05)。结论急性胆囊炎患者采用LC手术进行治疗可以减小对患者的创伤、缩短恢复时间,同时不会增加术后并发症的发生率。Objective To investigate the clinical efficacy and safety of laparoscopic cholecystectomy （LC） and open choleeystectomy （OC） in treating patients with acute eholeeystitis. Methods From August 2012 to June 2014, clinical data of 84 patients with acute cholecystitis were analyzed retrospectively. In these patients, 47 patients were allocated in the LC group and 37 in the OC group. Statistical analysis was performed by using SPSS10. 0 software. Measurement data were expressed as mean ±SD , and two independent sample t tests were performed for operation time, intraoperative blood loss, gastrointestinal decompression time, postoperative exhausting time, and hospital stay. Postoperative complications and analgesic use were compared by using the Chi-square test. P 〈 0.05 was considered statistically significant. Results The operation time in the LC group was （44.6 ±11.4） minutes, the amount of bleeding during operation was （65.8 ± 12.5 ） ml, the time of gastrointestinal decompression was （2.2 ± 0.5 ） days, the time of postoperative exhaustion was （ 1.2 ±0.6） days, the rate of postoperative analgesia was 31.91% （ 15/ 47 ） , the time of hospitalization was （ 4.2±1.6 ） days ; all of these values were significantly lower than those in the OC group （ P 〈 0.05 ）. No death occurred. In the LC group, the postoperative complication rate was 14.89% （7/47） , which was lower than 16.22% （6/37） in the OC group （ P 〉 0. 05 ）. Conclusion LC operation for patients with acute cholecystitis could reduce injuries to patients, shorten the time of their recovery, and minimize postoperative complications.

关 键 词：胆囊炎 急性 胆囊切除术 腹腔镜 胆囊切除术 对比研究 

分 类 号：R657.41[医药卫生—外科学]