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目的评价在腹腔镜辅助下进行胆囊切除手术治疗急性胆囊炎的临床效果和安全性。方法 60例急性胆囊炎患者,随机分为对照组和观察组,每组30例。对照组患者选择常规开腹进行胆囊切除,观察组患者则在腹腔镜的辅助下进行胆囊的切除,比较两种治疗方式的临床效果和术后并发症。结果观察组的手术时间、术中出血量、住院时间、肠道功能恢复时间、下床时间均明显少于对照组,差异具有统计学意义(P<0.05);观察组患者在腹腔镜下进行胆囊切除,术后发生并发症的例数明显比对照组少,差异具有统计学意义(P<0.05)。结论急性胆囊炎患者经腹腔镜胆囊切除术后,身体恢复情况较好,并发症发生率低,临床治疗效果显著,建议广泛推广。
Objective To evaluate the clinical efficacy and safety of laparoscopic cholecystectomy in the treatment of acute cholecystitis. Methods Sixty patients with acute cholecystitis were randomly divided into control group and observation group, 30 cases in each group. Patients in the control group underwent conventional cholecystectomy for laparotomy. Patients in the observation group underwent laparoscopic resection of the gallbladder, and the clinical effects and postoperative complications of the two treatment methods were compared. Results The operation time, intraoperative blood loss, hospital stay, intestinal function recovery time, and bed time were all significantly lower in the observation group than those in the control group (P <0.05). The patients in the observation group underwent laparoscopy Cholecystectomy, postoperative complications occurred significantly fewer cases than the control group, the difference was statistically significant (P <0.05). Conclusion In patients with acute cholecystitis after laparoscopic cholecystectomy, body recovery is better, the incidence of complications is low, the clinical treatment effect is significant, it is recommended to be widely promoted.