腹腔镜在急性胆囊炎切除术中的应用 舒科.docVIP

精品论文 参考文献 腹腔镜在急性胆囊炎切除术中的应用 舒科 舒科 　　（四川省林业中心医院外二科 四川 成都 610081) 　　【摘要】 目的：研究在急性胆囊炎切除术中采用腹腔镜操作的临床效果。方法：选取我院近几年收治的987例急性胆囊炎患者，均实施手术治疗。按照随机原则分为两组，对照组采用开腹手术，观察组实施腹腔镜手术，对比两组患者手术情况、术后恢复情况、并发症情况差异性。结果：观察组患者手术时间、术中出血量及术后住院天数均明显小于对照组（P＜0.05）。对照组术后84.18%患者需使用止痛药，观察组仅为17.81%，且观察组下床活动时间及肠鸣音恢复时间均明显更短（P＜0.05）。并发症方面，对照组中术后并发症发生率为10.14%，观察组发生率为1.21%，组间对比差异显著（P＜0.05）。结论：对急性胆囊炎切除术采用腹腔镜操作可显著提升手术效果，减轻手术对患者造成的不良影响，具有临床推广价值。 　　【关键词】腹腔镜；急性胆囊炎；术后恢复；并发症 　　【中图分类号】R615 【文献标识码】A 【文章编号】2095-1752（2016）24-0016-02 　　 　　The application of laparoscopic resection in acute cholecystitis 　　Shu Ke. The Forestry Center Hospital, Sichuan Provincial, Chengdu 610081, China 　　【Abstract】Objective to study the clinical effect of laparoscopic operation in the acute cholecystitis. Methods selection of 987 cases of acute cholecystitis patients admitted in our hospital in recent years, all treatment with surgery. In accordance with the principle of random divided into two groups, control group adopts open operation, observation group of laparoscopic surgery, compared two groups of patients with surgery, postoperative recovery and complications. Results the observation group of patients with operation time, intraoperative blood loss and postoperative hospitalization days were significantly less than control group (Plt;0.05). Control group 84.18% of patients need to use painkillers, postoperative observation group was only 17.81%, and the observation group of bed activity time and bowel sounds recovery time were significantly shorter (Plt;0.05). Complications, postoperative complication rate was 10.14% in control group, the incidence of observation group was 1.21%, compared to significant difference between groups (Plt;0.05). Conclusion laparoscopic operation for acute cholecystitis resection can significantly improve the operation effect, alleviate the adverse effect caused by surgery for patients, clinical popularization value. 　　【Key words】 Laparoscopic; Acute cholecystit