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目的探讨分析开腹胆囊切除术和腔镜胆囊切除术对于治疗急性胆囊炎的临床效果。方法选取2013年8月—2015年8月收治的急性胆囊炎患者110例,采取回顾性分析方法,根据手术方式不同分为观察组与对照组,每组55例,观察组接受腔镜胆囊切除术,对照组采取开腹胆囊切除术。对比分析两组患者手术疗效,并记录并发症发生情况。结果观察组患者手术时间、住院时间、术后排气时间、术后下床时间、术中出血量、手术切口长度等指标都明显优于对照组,对比差异显著(P<0.05),具有统计学意义;两组患者术后复发率均为零,但是观察组术后并发症发生率显著低于对照组,对比差异有统计学意义(P<0.05)。结论腔镜胆囊切除术应用于急性胆囊炎治疗中,临床效果显著,安全性高。
Objective To investigate the clinical effects of open cholecystectomy and endoscopic cholecystectomy for the treatment of acute cholecystitis. Methods A total of 110 patients with acute cholecystitis admitted from August 2013 to August 2015 were retrospectively analyzed. According to the different surgical methods, the patients were divided into observation group and control group, with 55 cases in each group. The observation group received endoscopic cholecystectomy The patients in control group were treated with open cholecystectomy. Comparative analysis of two groups of patients with surgical efficacy, and record the incidence of complications. Results The operation time, hospitalization time, postoperative exhaust time, postoperative ambulation time, intraoperative blood loss and surgical incision length were significantly better in the observation group than in the control group, with significant difference (P <0.05) The recurrence rate of the two groups of patients was zero, but the incidence of postoperative complications in the observation group was significantly lower than that in the control group, the difference was statistically significant (P <0.05). Conclusion endoscopic cholecystectomy in the treatment of acute cholecystitis, the clinical effect is significant and safe.