急性胆囊炎手术应用腹腔镜和开腹手术治疗的临床观察.docVIP

精品论文 参考文献 急性胆囊炎手术应用腹腔镜和开腹手术治疗的临床观察 徐泽多四川省凉山州昭觉县人民医院 四川凉山 616150 　　【摘要】目的: 探究在急性胆囊炎的治疗中腹腔镜和开腹手术治疗的临床效果对比。方法: 对一段时间内在我院治疗的急性胆囊炎患者84 例进行手术治疗，分为对照组和观察组，其中对照组42 例患者采用开腹手术治疗，42 例患者采用腹腔镜手术治疗，比较两组患者的手术相关指征。结果: 观察组患者的手术时长、出血量、腹部手术切口以及术后并发症发生率均显著少于对对照组，同时观察组患者的首次下床活动时间、肠鸣音恢复时间以及住院时长均显著少于对照组，其差异显著具有同统计学意义（P＜0.05）。结论: 在急性胆囊炎的临床治疗中采用腹腔镜手术治疗能显著减少手术中的耗时和出血量，同时减少并发症的发生率，加速患者的术后病情恢复，值得在外科中推??应用。 　　【关键词】急性胆囊炎; 腹腔镜; 开腹手术；【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-7165（2015）11-0057-02【Abstract 】 Objective: To explore the acute cholecystitis clinical treatment effect with laparoscopic and open surgery for contrast. Methods: For aperiod of time within the hospital treatment of 84 cases of patients with acute cholecystitis underwent surgery treatment, were divided into control groupand observation group, control group, 42 cases were treated by open operation treatment, 42 cases were treated by laparoscopic surgery, compared twogroups of patients with indications related to the operation. Results: The observation group of patients with operation time, blood loss, abdominal incisionand incidence of postoperative complications were significantly less than the control group, and observation group of patients with bed activity time for thefirst time, bowel sounds recovery time and hospitalization duration were significantly less than the control group, with its significant difference has statisticalsignificance (P lt; 0.05). Conclusions: In clinical treatment of acute cholecystitis treated by laparoscopic surgery can significantly reduce the operation timeand blood loss, as well as reduce the incidence of complications and accelerate the postoperative patient recovery, is worthy of popularization andapplication in the surgery.【 Key words 】 Acute cholecystitis; Laparoscope; Open operation. 　　随着人们工作、生活节奏的加快，人们的饮食习惯有很大的变化，近年来，消化科胆囊部位疾病发病率不断上升，并且多发于女性以及中老年人群。急性胆囊炎是一种胆囊的急性化脓性病变，多伴发有胆囊结石病症，是一种常见的急腹症。胆囊急性炎症的发病因素主要有细菌感染、化学刺激以及结石导致的梗阻。患者的主要为急性的水肿和充血病病理改变，伴有压痛、恶心、呕吐以及肋部的疼痛。传统的急性胆囊炎的临床治疗是采用开腹胆囊切除治疗，但是对患者的术后病情恢复非常不