论文部分内容阅读
目的:分析急性胆囊炎不同时期腹腔镜胆囊切除术治疗效果。方法:随机抽选我院2014年1月-2016年1月内接诊的70例行腹腔镜胆囊切除术治疗的急性胆囊炎患者,依照不同手术时期分A组24例(发病72h内)、B组22例(发病后72-96h)、C组24例(先保守治疗,后手术),分析三组手术情况、中转开腹等。结果:和B组比较,A组、C组手术时间、术中出血量、住院时间均较优,差异显著(p<0.05);和C组比较,A组、B组术后下床活动时间较优,差异显著(p<0.05);B组中转开腹率较A组、C组高,差异显著(p<0.05)。结论:针对急性胆囊炎患者,应提供早期腹腔镜胆囊切除术,效果显著,值得应用。
Objective: To analyze the therapeutic effect of laparoscopic cholecystectomy in different stages of acute cholecystitis. Methods: Seventy patients with acute cholecystitis undergoing laparoscopic cholecystectomy in our hospital from January 2014 to January 2016 were randomly selected. Twenty-four patients (within 72 hours after onset of disease) were divided into group A B group 22 cases (72-96h after onset), C group 24 cases (conservative treatment, after surgery), analysis of the three groups of surgery, laparotomy and so on. Results: Compared with group B, the operation time, intraoperative blood loss and hospital stay in group A and group C were significantly higher than those in group B (p <0.05). Compared with group C, the time to bed ambulation in group A and group B (P <0.05). The rate of laparotomy in group B was significantly higher than that in group A and group C (p <0.05). Conclusion: For patients with acute cholecystitis, early laparoscopic cholecystectomy should be provided and the results are significant and worthy of application.