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目的:探讨采用腹腔镜联合手术切除急性结石胆囊炎手术治疗效果,并对其临床可行性及安全性进行分析。方法:选取本院于20年月至202年2月本院收治的30例行腹腔镜联合手术的急性结石胆囊炎患者为观察组,并选取同期行传统根治手术30例行传统手术治疗急性结石胆囊炎患者为对照组,对比分析两组患者手术治疗效果。结果:30例患者,一次性成功切除28例,手术成功切除率为93.33%,对照组30例患者,一次性成功切除22例,成功率为73.33%。两组患者手术成功率具有统计学意义(P<0.05),观察组患者术后无不良反应情况发生,对照组不良反应发生率为16.67%,两组不良反应发生率具有统计学意义(P<0.05)。观察组患者手术平均时间、术中出血量、平均住院时间优于对照组(P<0.05)。对两组随访年,观察组患者无复发,对照组复发率为20.00%,两组复发率具有统计学意义(P<0.05)。结论:腹腔镜联合手术治疗急性结石胆囊炎具有高效安全、术后并发症少、术中出血量少的特点,临床治疗效果显著,值得推广应用。
Objective: To investigate the effect of laparoscopic surgery in the treatment of acute cholecystitis and to analyze its clinical feasibility and safety. Methods: A total of 30 patients with acute cholecystitis undergoing laparoscopic surgery in our hospital from 20 years to 202 years in February were selected as the observation group. Thirty patients undergoing conventional radical operation at the same period were selected to undergo traditional surgery for acute calculi Cholecystitis patients as control group, comparative analysis of two groups of patients with surgical treatment. Results: Totally 30 cases were successfully resected in 28 cases. The successful resection rate was 93.33%. In the control group, 22 cases were successfully resected in one time, the successful rate was 73.33%. The success rate of operation in both groups was statistically significant (P <0.05). No adverse reactions were observed in the observation group after operation, the incidence of adverse reactions in the control group was 16.67%, and the incidence of adverse reactions in the two groups was statistically significant (P < 0.05). The average operation time, intraoperative blood loss and average length of stay in the observation group were better than those in the control group (P <0.05). The two groups of follow-up years, the observation group patients without recurrence, the control group recurrence rate was 20.00%, the recurrence rate was statistically significant (P <0.05). Conclusion: Laparoscopic surgery for acute calculous cholecystitis with high efficiency and safety, less postoperative complications, less blood loss, clinical treatment effect is significant, it is worth promoting the application.