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目的分析腹腔镜与开腹手术对急性胆囊炎的临床治疗效果。方法 80例急性胆囊炎患者,按照随机数字表法分为观察组和对照组,各40例。对照组患者给予开腹胆囊切除术治疗,观察组采用腹腔镜胆囊切除术治疗。对比两组的治疗效果。结果两组患者均顺利完成手术,观察组的手术时间、术中出血量、术后体温、术后肠胃功能恢复时间、住院时间均优于对照组,差异均具有统计学意义(P<0.05)。观察组患者术后使用镇痛剂率为12.50%、术后并发症发生率为5.00%,均低于对照组的52.50%、20.00%,差异均具有统计学意义(P<0.05)。结论与开腹手术相比,腹腔镜胆囊切除术在治疗急性胆囊炎方面更具有优势,具有手术时间短、创伤小、痛苦小、并发症少、恢复快的特点,值得临床推广。
Objective To analyze the clinical effect of laparoscopy and laparotomy on acute cholecystitis. Methods Eighty patients with acute cholecystitis were divided into observation group and control group according to random number table method, 40 cases in each. Patients in the control group were treated with open cholecystectomy and in the observation group with laparoscopic cholecystectomy. Compare the treatment effect of two groups. Results The operation of the two groups was successfully completed. The operation time, intraoperative blood loss, postoperative body temperature, postoperative recovery time of gastrointestinal function and hospital stay in the two groups were all better than those in the control group (P <0.05) . The analgesic rate of postoperative patients in observation group was 12.50%, and the incidence of postoperative complications was 5.00%, which were all lower than those in control group (52.50%, 20.00%). The difference was statistically significant (P <0.05). Conclusion Compared with open surgery, laparoscopic cholecystectomy has more advantages in the treatment of acute cholecystitis. It has the advantages of shorter operation time, less trauma, less pain, fewer complications and faster recovery. It is worthy of clinical promotion.