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目的探讨腹腔镜胆囊切除术治疗急性胆囊炎患者的临床疗效。方法回顾性分析256例急性胆囊炎患者采用腹腔镜胆囊切除术治疗的临床效果资料,并与早期的200例传统开腹手术治疗的急性胆囊炎患者的临床治疗效果做比较。结果治疗组手术时间78.4±26.9分钟,对照组手术时间116.6±42.4分钟;治疗组住院时间6.2±2.5天,对照组住院时间9.8±4.6天;差异具有显著性。与传统手术治疗相比,腹腔镜胆囊切除术治疗急性胆囊炎患者的术后并发症大大降低。结论在严格掌握适应证的基础上,腹腔镜胆囊切除术治疗急性胆囊炎是安全和有效的。
Objective To investigate the clinical effect of laparoscopic cholecystectomy in patients with acute cholecystitis. Methods The clinical data of 256 patients with acute cholecystitis undergoing laparoscopic cholecystectomy were retrospectively analyzed and compared with the clinical results of 200 patients with acute cholecystitis undergoing open surgery in the early stage. Results The operation time was 78.4 ± 26.9 minutes in the treatment group and 116.6 ± 42.4 minutes in the control group. The hospitalization duration was 6.2 ± 2.5 days in the treatment group and 9.8 ± 4.6 days in the control group. The difference was significant. Compared with traditional surgical treatment, laparoscopic cholecystectomy in patients with acute cholecystitis significantly reduced postoperative complications. Conclusions On the basis of strict indications, laparoscopic cholecystectomy for the treatment of acute cholecystitis is safe and effective.