急性炎症期腹腔镜胆囊切除术的临床效果和安全性观察.docVIP

精品论文 参考文献 急性炎症期腹腔镜胆囊切除术的临床效果和安全性观察 胡力 　　（松滋市人民医院 湖北 松滋 434200） 　　【摘 要】目的：探讨临床对急性炎症期胆囊炎患者实施腹腔镜胆囊切除术的临床效果与安全性。方法：将近年到我院治疗的72例急性炎症期胆囊炎患者纳入研究，同时以随机数表法平分成两组，对照组36例实施传统开腹手术救治，观察组36例通过腹腔镜胆囊切除术救治，研究两组的临床施治情况。结果：①临床效果：观察组实施治疗后的手术成功率相比对照组明显更高，住院时间更短，有统计学意义（P＜0.05）。②安全性：两组围术期均有患者发生并发症，观察组是2.78%，相比对照组的22.22%明显更低，有统计学意义（P＜0.05）。结论：选择腹腔镜胆囊切除术对急性炎症期胆囊炎患者实施救治，手术安全可行，且成功率高，适合推广。 　　【关键词】急性炎症期胆囊炎；腹腔镜胆囊切除术；临床效果；安全性 　　【中图分类号】R4 【文献标识码】B 【文章编号】1003-5028（2015）6-0519-01 　　To observe the clinical effect and safety of laparoscopic cholecystectomy in the acute inflammatory phase 　　Hu Li 　　The Peoples Hospital of Songzi, Songzi 434200, China 　　【Abstract】Objective：To investigate the clinical implementation of clinical effect and safety oflaparoscopic cholecystectomy for acute inflammation period in patients with cholecystitis.Methods：72 patients in recent years to acute inflammation cholecystitis treated in our hospitalwere recruited into the study and random number table method to divide into two groups, 36 cases in the control group to implement the traditional open surgery for treatment, the observation group of 36 cases of laparoscopic cholecystectomy in the treatment of the two groups of clinical treatment, research situation. Results：The clinical effect of observation group after the treatment success rate of the operation compared to the control group was significantly higher, shorter hospital stay, with statistical significance (P lt; 0.05). The safety:complications occurred in two groups were perioperative patients, the observation group was 2.78%, compared with 22.22% in the control group were significantly lower, with statistical significance (P lt; 0.05). Conclusion：The selection of laparoscopic cholecystectomy for acute inflammation period treatment in patients with cholecystitis, operation is safe and feasible, and the success rate is high, suitable for promotion. 　　【Key words】Acute inflammation cholecystitis;Laparoscopic cholecystectomy;Clinical effect;safety 　　急性炎症期胆囊