腹腔镜胆囊摘除术与传统开腹手术治疗急性胆囊炎的临床疗效对比  

Clinical Curative Effect of Laparoscopic Gallbladder Excision Compared with Traditional Laparotomy of Acute Cholecystitis

作　　者：廖重五[1] 马苏[1] 宋涛[2] 郑晨[1] 申亚伟[1] 

机构地区：[1]西安市中心医院普外科,陕西西安710003 [2]西安交通大学第一附属医院肝胆外科,陕西西安710061

出　　处：《现代生物医学进展》2016年第26期5135-5137,5018,共4页Progress in Modern Biomedicine

基　　金：陕西省自然科学基金项目(2009JQ4016)

摘　　要：目的:比较腹腔镜胆囊摘除术与传统开腹手术在急性胆囊炎的临床疗效。方法:选取我院2013年3月至2014年3月期间收治的急性胆囊炎患者100例,随机分为实验组和对照组,每组50例。对照组采用传统开腹手术治疗,实验组采用腹腔镜胆囊摘除术(LC)治疗。观察并比较两组患者的手术时间、术中出血量、临床疗效、住院时间、胃肠道恢复情况及术后并发症的发生率等。结果:与对照组比较,实验组患者术中出血量少、手术时间短,差异具有统计学意义(P<0.05);与对照组比较,实验组患者术后肠道功能恢复时间及下床活动时间均较早,且住院时间较短,差异具有统计学意义(P<0.05);实验组总有效率(94.0%)高于对照组(82.0%),差异具有统计学意义(P<0.05);实验组患者不良反应发生率(24.0%)低于对照组(52.0%),差异具有统计学意义(P<0.05)。结论:腹腔镜胆囊摘除术对于改善急性胆囊炎患者的治疗效果具有积极作用,出血少损伤小,术后恢复好,适于在临床上进一步推广和应用。Objective： To investigate the clinical curative effect of laparoscopic gallbladder excision on the treatment of acute cholecystitis. Methods： 100 patients with acute cholecystitis who were treated in our hospital from March 2013 to March 2014 were selected and randomly divided into the experimental group and the control group, with 50 cases in each group. The patients in the control group were treated with traditional laparotomy surgery, while the patients in the experimental group were treated with laparoscopic gallbladder excision technique （LC）. Then the operation time, the blood loss, clinical effects, hospitalization, recovery of intestinal function and activity and the incidence of postoperative complications in the two groups were observed and compared. Results： Compared with the control group, the operation time in the experimental group was shorter, and the blood loss was lower, and the differences were statistically significant （P〈0.05）; Compared with the control group, the recovery of intestinal function and the time of activity were earlier, and the hospitalization was shorter, and the differences were statistically significant （P〈0.05）; The clinical effective rate in the experimental group was 94.0%, which was higher than 82.0% in the control group, and the difference was statistically significant （P〈0.05）; The incidence of postoperative complication in the experimental group was 24.0%, which was lower than 54.0% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion： Laparoscopic gallbladder excision plays a positive role in the treatment of acute cholecystitis, with less blood loss and better recovery, which is suitable for clinical application.

关 键 词：腹腔镜胆囊摘除术 传统开腹手术 急性胆囊炎 

分 类 号：R657.4[医药卫生—外科学]