腹腔镜手术对胆囊结石伴急性胆囊炎患者治疗探讨.docVIP

腹腔镜手术对胆囊结石伴急性胆囊炎患者治疗探讨 　　【摘要】 目的：探讨胆囊结石伴急性胆囊炎腹腔镜手术的临床效果。方法：选取本院2012年 　　7月-2014年6月治疗的60例胆囊结石伴急性胆囊炎患者作为研究对象，并分为对照组和观察组，每组30例。对照组采用传统开腹手术治疗，观察组采用腹腔镜手术治疗，比较两组患者的临床治疗效果。结果：观察组手术时间为（46.21±12.65）min，短于对照组；观察组术中出血量为（126.58±52.38）mL，明显少于对照组；观察组切口长度为（3.01±0.54）cm，短于对照组；观察组住院时间为（7.68±2.57）d，短于对照组；观察组治疗有效率为97%，高于对照组；观察组并发症发生率为10%，明显低于对照组，以上各项比较差异均有统计学意义（P0.05）。结论：对胆囊结石伴急性胆囊炎患者实施腹腔镜手术进行治疗可促进患者及时康复，术后不良反应较少，值得推广应用。 　　【关键词】 胆囊结石伴急性胆囊炎； 腹腔镜手术； 临床疗效 　　【Abstract】 Objective：To study the clinical effect of laparoscopic surgery in the treatment of gallbladder stones associated with acute cholecystitis.Method：60 cases admitted in our hospital for gallbladder stones with associated acute cholecystitis from July 2012 to June 2014 were selected as the research objects，they were divided into the observation group and the control group，30 cases in each group.The control group used traditional open surgery，and the observation group used laparoscopic surgery treatment，the effect of the two groups were compared.Result：The operation time of the observation group was （46.21±12.65）min，which was shorter than that of the control group，the bleeding amount of the observation group was （126.58±52.38）mL，which was significantly less than that of the control group，the incision length of the observation group was （3.01±0.54）cm，which was shorter than that of the control group，the length of hospital stay of the observation group was （7.68±2.57）d，which was shorter than that of the control group，the treatment effective rate of the observation group was 97%，which was higher than that of the control group，the incidence rate of complications of the observation group was 10%，which was significantly lower than that of the control group，the differences were all statistically significant（P0.05）.Conclusion：Laparoscopic surgery for patients with gallbladder stone associated with acute cholecystitis can promote the patient recover in time and has advantage of less postoperative adverse reactions，which is worthy of p