腹腔镜与传统开腹手术治疗急性胆囊炎疗效比较.docVIP

腹腔镜与传统开腹手术治疗急性胆囊炎疗效比较 　　[摘要] 目的 比较腹腔镜胆囊切除术（LC）与传统开腹胆囊切除术（OC）治疗急性胆囊炎的临床效果。 方法 对56例接受LC和73例接受OC的急性胆囊炎患者的临床资料进行回顾性对照分析。 结果 两组手术时间、术中出血量、术后肛门排气时间、下床活动时间、住院时间及并发症比较差异均有统计学意义（P ＜ 0.01），LC组优于OC组。 结论 LC具有创伤小、恢复快、术后并发症少等优点，是治疗急性胆囊炎较为理想的手术方式。 　　[关键词] 急性胆囊炎；腹腔镜；开腹手术；胆囊切除术 　　[中图分类号] R657.4 [文献标识码] A [文章编号] 1674-4721（2012）03（a）-0033-02 　　 　　Effect comparison of laparoscopic and traditional open cholecystectomy for acute cholecystitis 　　WEI Decai1 JIANG Banghao2 HU Yaofeng1 QU Yanle1 　　1.Department of General Surgery, Zhongcun Hospital of Panyu District in Guangdong Province, Guangzhou 511495, China;. 2.Department of General Surgery, Panyu Central Hospital in Guangdong Province, Guangzhou 511400, China 　　[Abstract] Objective To compared the clinical effect of laparoscopic cholecystectomy(LC) and open cholecystectomy(OC) in the treatment of acute cholecystitis. Methods The clinical data of 56 cases with acute cholecystitis receiving LC and 73 cases with acute cholecystitis receiving OC were retrospectively control analyzed. Results There were significantly differences between two groups in operation time, intraoperative blood loss, postoperative gastrointestinal function recovery time, time of ambulation, hospitalization time and complications（all P ＜ 0.01）, the LC group was better than the OC group. Conclusion LC for acute cholecystitis have advantages of less trauma, faster postoperative recovery, fewer postoperative complications etc, it is a ideal operation way. 　　[Key words] Acute cholecystitis; Laparoscopy; Open surgery; Cholecystectomy 　　 　　急性胆囊炎的治疗首选胆囊切除术，其手术方式有传统的开腹胆囊切除术（open cholecystectomy，OC）和腹腔镜胆囊切除术（laparoscop cholecystectomy，LC）两种。然而，处于急性炎症期的胆囊疾病，因其局部病理改变复杂，易导致胆囊三角解剖结构异常，曾被视为LC的禁忌证或相对禁忌证。随着腹腔镜技术的成熟与发展，以及手术器械的不断改进与完善，LC以其微创、恢复快、并发症少等优点，已成为治疗胆囊良性疾病的金标准[1]。但是，OC和LC各有其优缺点[2-3]，孰优孰劣不能一概而论，且LC的手术时机和中转开腹等问题尚存在争议[4]。为进一步比较LC和OC治疗急性胆囊炎的临床效果，笔者对本院自2010年1月~2011年12月收治的129例急性胆囊炎患者的临床资料进行了回顾性分析，报道如下： 　　1 资料与方法 　　1.1 一般资料 　　129例为本院普外科收治的急性胆囊炎患者，术前均经B超、血常规、生化等检查确诊。根据