对急性发作期胆囊炎患者行腹腔镜胆囊切除术疗效评价.docVIP

对急性发作期胆囊炎患者行腹腔镜胆囊切除术疗效评价 　　[摘要] 目的 探讨对急性发作期胆囊炎患者实施腹腔镜胆囊切除术的疗效。方法 方便选取2014年2月―2017年2月间该院收治的150例急性发作期胆囊炎患者进行研究，按患者手术方式将患者分为传统组（n=75）和腹腔镜组（n=75）。对所有传统组患者进行传统开腹胆囊切除术治疗，对所有腹腔镜组患者进行腹腔镜胆囊切除术治疗，统计分析两组患者的手术状况、治疗效果及术后并发症状况。结果 腹腔镜组患者术中出血量（40.6±11.9）mL、手术时间（41.8±16.8）min、住院时间（5.7±2.1）d、并发症发生率1.3%与传统组术中出血量（65.2±14.7）mL、手术时间（68.2±15.4）min、住院时间（7.8±1.4）d、并发症发生率9.3%相比明显较低，腹腔镜组患者的总有效率98.7%与传统组89.3%相比明显较高（P0.05）。结论 对急性发作期胆囊炎患者实施腹腔镜胆囊切除术治疗效果优良。 　　[关键词] 急性发作期胆囊炎；腹腔镜胆囊切除术；效果 　　[中图分类号] R657.4 [文献标识码] A [文章编号] 1674-0742（2017）08（a）-0069-03 　　[Abstracts] Objective This paper tries to investigate the efficacy of laparoscopic cholecystectomy in patients with acute exacerbation of cholecystitis. Methods 150 patients with acute exacerbation of cholecystitis from February 2014 to February 2017 treated in this hospital were convenient selected and divided into two groups according to the procedure of operation， with 75 cases in the conventional group and the laparoscopic group respectively. The conventional group adopted open cholecystectomy. The laparoscopic group adopted laparoscopic cholecystectomy. The operative status， the therapeutic effect and postoperative complications of the two groups were analyzed statistically. Results The amount of bleeding of the laparoscopic group was（40.6±11.9）mL， the operation time was（41.8±16.8）minutes， hospitalization time was（5.7±2.1）days， the amount of bleeding complication rate was 1.3% and those of the conventional group were （65.2±14.7）mL，（68.2±15.4）minutes，（7.8±1.4）days， and 9.3%， and the total effective rate of the conventional group was 89.3%， significantly lower than the laparoscopic group of patients of 98.7%（P0.05）. Conclusion Laparoscopic cholecystectomy is effective in patients with cholecystitis in acute exacerbation. 　　[Key words] Acute onset cholecystitis； Laparoscopic cholecystectomy； Effect 　　急性发作期胆囊炎是胆囊较为常见的疾病。手术治疗仍是当前临床治疗急性发作期胆囊炎的常用方式，以往多实施传统开腹胆囊切除术治疗，但患者手术创伤较大，术后并发症较多，手术效果及安全性有待提升。当前微创技术及腹腔镜技术不断发展，腹腔镜手术在临床上的运用也越来越多。为进一步明确腹腔镜胆囊切除术的手术