腹腔镜胆囊切除术在急性胆囊炎治疗中的应用价值探讨.docVIP

精品论文 参考文献 腹腔镜胆囊切除术在急性胆囊炎治疗中的应用价值探讨 黑龙江省龙江县第一人民医院 161100 摘要：目的 探讨并研究腹腔镜胆囊切除术应用于急性胆囊炎治疗中的临床疗效观察。方法 此次研究的对象是选用我院于2012年1月～2014年1月收治的80例急性胆囊炎患者，将其临床资料进行回顾性分析，并按照入院先后顺序将80例患者分为研究组和对照组，各40例。观察组采用腹腔镜胆囊切除术进行治疗，对照组采用开放开腹手术进行治疗，对比两组患者的临床疗效。结果 研究组患者的平均手术时间、平均住院时间、术中平均出血量以及术后平均下床活动的时间低于对照组；研究组患者在治疗中并发症发生率为7.5%，低于对照组患者（17.5%），两组患者差异显著（Plt;0.05）。结论 采用腹腔镜胆囊切除术对急性胆囊炎患者的治疗有显著的临床效果，其具有创伤小、出血量少等特点，值得医学临床推广和应用。 关键词：急性胆囊炎；腹腔镜胆囊切除术；临床疗效 Abstract：Objective To investigate and study the clinical effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis. Methods the research object is selected in our hospital from January 2012 to 2014 January 80 cases of acute cholecystitis patients，the clinical data were retrospectively analyzed，and in accordance with the admission has order of 80 patients were divided into study group and control group，each 40 cases. The observation group was treated by laparoscopic cholecystectomy，the control group was treated with open surgery，and the clinical efficacy of the two groups were compared. Results patients the average operation time，average hospitalization after operation time，average bleeding volume and average out of bed time activity was lower than that in the control group. The patients in the study group in the treatment of complication rate of 7.5%，lower than the control group patients（17.5%），the difference between the two groups were significant（P lt; 0.05）. Conclusion laparoscopic cholecystectomy for acute cholecystitis patients with significant clinical effect，it has the characteristics of small trauma，less bleeding and so on，it is worthy of clinical popularization and application. Key words：acute cholecystitis；laparoscopic cholecystectomy；clinical efficacy 急性胆囊炎是临床上常见的一种多发和常见疾病，其发病特点有起病急，病情危重，病理复杂多变等[1]。通过胆囊切除术术手段来治疗该病是目前医学临床上治疗急性胆囊炎的主要治疗方法[2]。腹腔镜技术不断获得医学界的认可。本文将腹腔镜与开放开腹手术术的临床效果进行对比分析，为临床治疗方案提供有效参考依据，现报告如下。 1资料与方法 1.1一般资料 选用我院于2012年1月～2014年1月收治的80例急性胆囊炎患者进行研究分析[3]，所有患者入院后经过B超影像学检查后提示胆囊有明显增大，胆囊壁厚度变大，胆