不同手术时机行腹腔镜手术治疗急性胆囊炎的临床效果分析  

Analysis of the Clinical Effect of Laparoscopic Surgery for Acute Cholecystitis at Different Operation Times

作　　者：潘伯渠 PAN Boqu(Department of General Surgery,the First People's Hospital of Jinzhou District,Dalian,Dalian 116100,China)

机构地区：[1]辽宁省大连市金州区第一人民医院普外科,辽宁大连116100

出　　处：《中国医药指南》2021年第31期70-71,共2页Guide of China Medicine

摘　　要：目的分析不同手术时机行腹腔镜手术治疗急性胆囊炎的临床效果。方法研究中从我院接收的急性胆囊炎患者中选76例纳入研究对象,时间为2017年9月至2018年9月。按照随机数表方法将患者分为两组,对照组和观察组都有38例。对照组患者于发病后72 h实行腹腔镜胆囊切除术,观察组患者发病后72 h内实行腹腔镜切除术。比较不同手术时机的临床效果。结果观察两组患者手术时间、术中出血量、肛门排气时间以及抗生素使用时间,观察组患者的各项指标均优于对照组,P<0.05;比较两组患者住院时间,观察组患者短于对照组,P<0.05;统计两组患者术后并发症发生率,观察组患者要低于对照组,P<0.05;分析两组患者复发率,对照组与观察组无区别,P>0.05。结论对急性胆囊炎患者而言,不同手术时机实行腹腔镜胆囊切除术均可取得较好的效果,但患者发病后72 h内手术效果更理想,有效减少并发症产生,缩短住院时间,有利于患者术后恢复。Objective To analyze the clinical effect of laparoscopic surgery on acute cholecystitis at different time.Methods Seventy-six patients with acute cholecystitis were selected from our hospital from September 2017 to September 2018.According to the method of random number table,the patients were divided into two groups.Laparoscopic cholecystectomy was performed 72 hours after the onset in the control group and 72 hours after the onset in the observation group.To compare the clinical effect of different operation time.Results The operation time,intraoperative bleeding volume,anal exhaust time and antibiotic use time of the two groups were observed.The indexes of the observation group were better than those of the control group(P<0.05).The hospitalization time of the observation group was shorter than that of the control group(P<0.05).The incidence of the disease in the observation group was lower than that in the control group,P<0.05;the recurrence rate in the two groups was analyzed,there was no difference between the control group and the observation group,P>0.05.Conclusion For the patients with acute cholecystitis,laparoscopic cholecystectomy can achieve better results at different operation time,but the effect of operation is better within 72 hours after the onset of the disease,which can effectively reduce the occurrence of complications,shorten the length of stay,and is conducive to the recovery of the patients.

关 键 词：急性胆囊炎 手术时机 腹腔镜 

分 类 号：R657.41[医药卫生—外科学]