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目的探讨腹腔镜治疗急性胆囊炎的手术时机与临床疗效。方法选取2012年1月至2013年1月肥西县人民医院收治的40例急性胆囊炎患者为研究对象,根据治疗时机的不同分为两组,观察组患者为早期手术组,在48 h内行手术治疗,对照组患者为晚期手术组,在48 h后进行手术治疗,比较两组患者的治疗效果。结果观察组的手术时间、术后住院时间及总住院时间明显优于对照组患者(P<0.05),观察组患者的术后并发症发生情况及中转开腹率明显低于对照组患者,差异有统计学意义(P<0.05)。结论急性胆囊炎患者早期通过腹腔镜治疗可以在很大程度上降低中转开腹率,缩短住院时间,术后并发症较少,能提高患者的生活质量,值得在临床实践中广泛应用和推广。
Objective To investigate the timing and clinical effect of laparoscopy in the treatment of acute cholecystitis. Methods Forty patients with acute cholecystitis treated in Feixi People’s Hospital from January 2012 to January 2013 were selected as study subjects and divided into two groups according to the timing of treatment. The patients in observation group were treated in early operation group, Surgical treatment, the control group of patients with advanced surgery group, surgery after 48 h, the treatment effect of the two groups were compared. Results The operation time, postoperative hospital stay and total hospital stay in the observation group were significantly better than those in the control group (P <0.05). The incidence of postoperative complications and the rate of laparotomy in the observation group were significantly lower than those in the control group There was statistical significance (P <0.05). Conclusions Early laparoscopic treatment of acute cholecystitis can largely reduce the rate of laparotomy, shorten the length of hospital stay, reduce the postoperative complications, and improve the quality of life of patients. It is worthy of wide application and promotion in clinical practice.