腹腔镜胆囊切除术治疗急性胆囊炎疗效的研究.docVIP

腹腔镜胆囊切除术治疗急性胆囊炎疗效的研究 　　[摘要] 目的 探讨和分析在治疗急性胆囊炎过程中，运用微创腹腔镜胆囊切除术的可靠性和临床疗效。方法 整群选取该院自2014年5月―2015年4月该院收治的急性胆囊炎患者共106例，经征得患者知情同意，将其分为观察组（56例）和对照组（50例），观察组采用微创腹腔镜胆囊切除术进行治疗，对照组则采用开腹胆囊切除术进行治疗。手术后对两组患者的术中出血量和手术所用时间，术后肛门排气时间，术后伤口感染率，下床活动时间和住院时间等进行观察分析并对比。结果 观察组患者的手术所用时间、术中出血量、肛门排气时间和下床时间分别为（72.1±15.9）min、（89.9±50.1）mL、（19.8±7.3）h和（13.9±6.5）h，明显低于对照组患者，该两组上述指标对比，差异有统计学意义（P0.05）；观察组患者的手术后感染率为8.93%（，5/56），明显低于对照组（38%，`19/50），该两组患者的手术后感染率对比，差异有统计学意义（χ2=6.395，P0.05）。结论 运用腹腔镜胆囊切除术，治疗急性胆囊炎不仅创伤小，而且并发症少感染率低， 还能有效减轻患者疼痛，减少医疗费用，临床值得推广。 　　[关键词] 急性胆囊炎；开腹术；腹腔镜术 　　[中图分类号] R657.4 [文献标识码] A [文章编号] 1674-0742（2015）10（b）-0086-02 　　Effect of Laparoscopic Cholecystectomy for Acute Cholecystitis 　　LIU Chun-xia 　　Department of General Surgery， Peoples Hospital of Huadian City， Huadian， Jilin Province， 132400 China 　　[Abstract] Objective To investigate and analyze the reliability and clinical effect of minimally invasive laparoscopic cholecystectomy in the treatment of acute cholecystitis. Methods 106 patients with acute cholecystitis admitted to the hospital between May 2014 and April 2015 were included. With their informed content， they were divided into observation group （n=56） and control group （n=50）. The observation group underwent invasive laparoscopic cholecystectomy， while the control group adopted open cholecystectomy. The intraoperative blood loss， operation duration， postoperative exhaust time， postoperative wound infection rate， out-of-bed activity time， duration of hospital stay were observed， analyzed and compared postoperatively. Results The operation duration， intraoperative blood loss， postoperative exhaust time， out-of-bed activity time were （72.1±15.9） min， （89.9±50.1）mL， and （19.8±7.3）h and （13.9±6.5）h respectively in the observation group， significantly lower than those in the control group， and there were statistically significant differences in the indicators above between the two group， P0.05. There was statistically significant difference in postoperative wound infect