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目的不同手术时机采用腹腔镜治疗急性结石性胆囊炎的疗效。方法选取医院收治的急性结石性胆囊炎患者66例为研究对象,随机分为观察组和对照组,每组33例。2组患者均实施腹腔镜手术治疗,但是对照组手术时机选择为>48 h,而观察组患者手术时机选择为<48 h,对比2组患者各项手术指标情况及并发症发生率。结果观察组中转或开腹率,低于对照组(P<0.05);观察组肛门排气用时、平均手术用时、疼痛时间及平均住院用时,短于对照组(P<0.01)。2组并发症发生率比较,差异无统计学意义(P>0.05)。结论采用腹腔镜胆囊切除术治疗急性结石性胆囊炎患者手术的时机应在48 h以内,而该种手术时机对提高手术效果有积极的意义。
Objective Different surgical timing of laparoscopic treatment of acute calculous cholecystitis curative effect. Methods Sixty-six patients with acute calcific cholecystitis treated in our hospital were selected as study subjects and randomly divided into observation group and control group, with 33 cases in each group. Laparoscopic surgery was performed in both groups. However, the timing of surgery in the control group was> 48 h, while the duration of surgery in the observation group was <48 h. Comparisons were made between the two groups in terms of operation parameters and incidence of complications. Results The rate of transit or laparotomy in the observation group was lower than that in the control group (P <0.05). The mean time of operation, pain, and hospital stay in the observation group were shorter than those in the control group (P <0.01). There was no significant difference in the complication rates between the two groups (P> 0.05). Conclusions The timing of laparoscopic cholecystectomy in patients with acute calcific cholecystitis should be less than 48 hours, and the timing of such operation has positive significance in improving the operative effect.