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目的:比较腹腔镜胆囊摘除术与传统开腹手术在急性胆囊炎的临床疗效。方法:选取我院2013年3月至2014年3月期间收治的急性胆囊炎患者100例,随机分为实验组和对照组,每组50例。对照组采用传统开腹手术治疗,实验组采用腹腔镜胆囊摘除术(LC)治疗。观察并比较两组患者的手术时间、术中出血量、临床疗效、住院时间、胃肠道恢复情况及术后并发症的发生率等。结果:与对照组比较,实验组患者术中出血量少、手术时间短,差异具有统计学意义(P<0.05);与对照组比较,实验组患者术后肠道功能恢复时间及下床活动时间均较早,且住院时间较短,差异具有统计学意义(P<0.05);实验组总有效率(94.0%)高于对照组(82.0%),差异具有统计学意义(P<0.05);实验组患者不良反应发生率(24.0%)低于对照组(52.0%),差异具有统计学意义(P<0.05)。结论:腹腔镜胆囊摘除术对于改善急性胆囊炎患者的治疗效果具有积极作用,出血少损伤小,术后恢复好,适于在临床上进一步推广和应用。
Objective: To compare the clinical efficacy of laparoscopic cholecystectomy with conventional laparotomy in acute cholecystitis. Methods: A total of 100 acute cholecystitis patients admitted to our hospital from March 2013 to March 2014 were randomly divided into experimental group and control group, 50 cases in each group. The control group was treated by traditional laparotomy, while the experimental group was treated by laparoscopic cholecystectomy (LC). The operation time, intraoperative blood loss, clinical efficacy, hospital stay, gastrointestinal tract recovery and the incidence of postoperative complications were observed and compared between the two groups. Results: Compared with the control group, the patients in the experimental group had less intraoperative blood loss and shorter operative time, the difference was statistically significant (P <0.05). Compared with the control group, the intestinal function recovery time and the ambulation (P0.05). The total effective rate (94.0%) in the experimental group was higher than that in the control group (82.0%), the difference was statistically significant (P0.05) The incidence of adverse reactions in experimental group was significantly lower than that in control group (24.0% vs 52.0%, P <0.05). Conclusion: Laparoscopic cholecystectomy has a positive effect on improving the curative effect of patients with acute cholecystitis. It has less bleeding and less damage and good recovery after operation. It is suitable for further popularization and application in clinic.