急性结石性胆囊炎合并糖尿病手术治疗效果分析.docVIP

急性结石性胆囊炎合并糖尿病手术治疗效果分析 　　[摘要] 目的 探讨急性结石性胆囊炎合并糖尿病的手术治疗效果。 方法 选取2016年1―12月该院收治的92例急性结石性胆囊炎合并糖尿病患者，随机将其分为两组（开腹组46例和腹腔镜组46例），开腹组患者予以传统开腹手术进行治疗，腹腔镜组患者在腹腔镜下行手术治疗，并比较不同组患者手术治疗情况和术后并发症发生率。结果 腹腔镜组患者手术操作时间、术中出血量、下床活动时间、肛门排气时间和疼痛VAS评分均明显优于开腹组（P0.05）；腹腔镜组患者术后并发症发生率明显低于开腹组（P0.05）。 结论 与传统开腹手术治疗相比，腹腔镜手术治疗急性结石性胆囊炎合并糖尿病具有手术时间短、术中出血量少、术后恢复时间短、术后疼痛轻和术后并发症少等优点，其值得推广借鉴。 　　[关键词] 急性结石性胆囊炎；糖尿病；?_腹手术服；腹腔镜手术；临床效果 　　[中图分类号] R575.6 [文献标识码] A [文章编号] 1672-4062（2017）07（b）-0007-02 　　Analysis of Treatment Effect of Operation in Treatment of Acute Cholecystitis and Diabetes 　　ZHANG Qing-ping 　　Huangdao District Second Hospital of Traditional Chinese Medicine， Qingdao， Shandong Province， 266400 China 　　[Abstract] Objective To study the treatment effect of operation in treatment of acute cholecystitis and diabetes. Methods 92 cases of patients with acute cholecystitis and diabetes admitted and treated in our hospital from January to December 2016 were selected and randomly divided into two groups with 46 cases in each， the laparotomy group adopted the traditional laparotomy treatment， while the laparoscope group adopted the laparoscopic surgery， and the operation treatment and incidence rate of postoperative complications were compared between the two groups. Results The operation time， intraoperative bleeding amount， time to get out of bed， anal exhaust time and pain VAS score in the laparoscopic group were obviously better than those in the laparotomy group（P0.05）， and the incidence rate of postoperative complications in the laparoscopic group was obviously lower than that in the laparotomy group（P0.05）. Conclusion Compared with the traditional laparotomy， the laparoscopic surgery in treatment of acute cholecystitis and diabetes has the advantages of short operation time， less intraoperative bleeding amount， short postoperative recovery time， mild postoperative pains and few postoperative complications， and it is worth promotion and reference. 　　[Key words] Acute cholecystitis； Diabetes； Lap