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目的:探讨腹腔镜下对急性结石性胆囊炎治疗的临床疗效。方法:选取我院于2011年7月～2012年9月收治的急性结石性胆囊炎行腹腔镜胆囊切除术患者60例,回顾性分析其临床资料。结果:A组平均住院时间、平均住院天数均明显短于B组(P<0.05),A组手术并发症0例,术中中转开腹1例,中转率2.4%,B组手术并发症2例,发生率11.1%,术中中转开腹2例,中转率11.1%,A组手术并发症发生率、术中中转率明显低于B组(P<0.01),有显著差异。结论:腹腔镜下对急性结石性胆囊炎治疗安全有效,发病72小时内腹腔镜行胆囊切除术效果更好。
Objective: To investigate the clinical effect of laparoscopic treatment of acute calcific cholecystitis. Methods: Sixty patients with acute cholecystitis who underwent laparoscopic cholecystectomy in our hospital from July 2011 to September 2012 were retrospectively analyzed. Results: The average length of stay and hospital stay in group A were significantly shorter than those in group B (P <0.05). There were 0 cases of complications in group A, 1 cases of laparotomy in open surgery, the conversion rate was 2.4%, the complications of group B were 2 Cases, the incidence of 11.1%, 2 cases of intraoperative laparotomy in the open, the transfer rate of 11.1%, the incidence of complications in group A surgery, intraoperative transfer rate was significantly lower than the B group (P <0.01), significant differences. Conclusion: Laparoscopic treatment of acute calculous cholecystitis safe and effective, laparoscopic cholecystectomy within 72 hours of onset is better.