腹腔镜胆囊切除术在急性胆囊炎治疗中的应用效果

陈震

（榆林市榆阳区中医医院外科，陕西 榆林，719000）

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摘要：

目的 分析腹腔镜胆囊切除术在急性胆囊炎治疗中的应用效果。方法 选取我院收治的92 例急性胆囊炎患者为研究对 象，信封随机分为常规组与试验组，每组46 例。常规组患者采取开腹胆囊切除术，试验组患者采取腹腔镜胆囊切除术。比较 两组患者的临床效果。结果 试验组患者的术中出血量、手术时间、住院时间、切口长度及术后止痛药使用频率明显优于常规 组（P<0.05）；试验组患者的并发症总发生率为2.17%，明显低于常规组的13.04%（P<0.05）；试验组患者的手术成功率明显高 于常规组（P<0.05）；试验组患者的肠鸣音恢复时间及排气时间均明显短于常规组（P<0.05）。结论 对急性胆囊炎患者建议采 取腹腔镜胆囊切除术进行治疗，手术时间与住院时间较短，手术安全有效。

关键词：急性胆囊炎；腹腔镜胆囊切除术；切口长度

中图分类号：R657.4文献标志码：A文章编号：2096-1413(2018)01-0057-02

Application effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis
CHEN Zhen
(Surgery Department, Traditional Chinese Medicine Hospital of Yuyang District, Yulin 719000, China)

ABSTRACT: Objective To analyze the application effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis. Methods Ninety-two patients with acute cholecystitis admitted in our hospital were selected and divided into routine group and experimental group with envelope random method, with 46 cases in each group. The routine group was given open abdominal cholecystectomy, and the experimental group was treated with laparoscopic cholecystectomy. The clinical effects of the two groups were compared. Results The intraoperative blood volume, operation and hospitalization time, length of incision and the frequency of painkiller in the experimental group were significantly better than those in the routine group (P<0.05). The total incidence of complications of the experimental group was 2.17%, which was lower than 13.04% of the routine group (P<0.05). The operation success rate of experimental group was higher than that of the routine group (P<0.05). The recovery time of bowel sound and exhaust time in the experimental group were shorter than those in the routine group (P<0.05). Conclusion Laparoscopic cholecystectomy is recommended for patients with acute cholecystitis. The operation time and time of hospitalization are shorter, and the operation is safe and effective.
KEYWORDS: acute cholecystitis; laparoscopic cholecystectomy; length of incision

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