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目的探讨腹腔镜胆囊切除术(LC)治疗胆囊颈管嵌顿结石性急性胆囊炎的临床效果。方法选取南通大学附属通州区人民医院2013年3月—2015年6月收治的胆囊颈部结石嵌顿性急性胆囊炎患者48例,随机分为对照组(n=25)和观察组(n=23)。对照组患者采用传统开腹手术治疗,观察组患者采用LC治疗。随访6~12个月,比较两组患者手术时间、禁食时间、排气时间、排便时间及住院时间,并观察患者并发症发生情况。结果观察组患者手术时间、禁食时间、排气时间、排便时间及住院时间短于对照组(P<0.05)。观察组患者并发症发生率低于对照组(P<0.01)。结论采用LC治疗胆囊颈结石嵌顿性胆囊炎具有明确的临床效果和安全性。
Objective To investigate the clinical effect of laparoscopic cholecystectomy (LC) in the treatment of gallbladder neck incarcerated acute cholecystitis. Methods Forty-eight patients with incarcerated acute cholecystitis of gallstone neck in Tongzhou District People’s Hospital affiliated to Nantong University from March 2013 to June 2015 were randomly divided into control group (n = 25) and observation group (n = twenty three). Patients in the control group were treated with conventional laparotomy and LC patients in the observation group. The patients were followed up for 6 to 12 months. The operation time, fasting time, excretion time, defecation time and hospital stay were compared between the two groups. The incidence of complications was also observed. Results The operation time, fasting time, exhaust time, defecation time and hospital stay in observation group were shorter than those in control group (P <0.05). The complication rate in observation group was lower than that in control group (P <0.01). Conclusion LC treatment of gallstone neck incarcerated cholecystitis has a clear clinical effect and safety.