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目的比较腹腔镜胆囊切除术(LC)与小切口胆囊切除术治疗早期急性胆囊炎的临床效果。方法 58例早期急性胆囊炎患者,随机分为甲组和乙组,每组29例。甲组给予LC治疗,乙组采用小切口胆囊切除术治疗。比较两组患者的临床治疗效果。结果甲组手术时间、住院时间以及术中出血量均显著优于乙组,差异具有统计学意义(P<0.05)。甲组并发症发生率6.9%显著低于乙组27.6%,差异具有统计学意义(P<0.05)。结论早期急性胆囊炎采用LC治疗效果更为显著,手术安全性高,可在临床中推广应用。
Objective To compare the clinical effects of laparoscopic cholecystectomy (LC) and small incision cholecystectomy in the treatment of early acute cholecystitis. Methods 58 cases of early acute cholecystitis were randomly divided into group A and group B, with 29 cases in each group. A group given LC treatment, B group with a small incision cholecystectomy. The clinical effects of the two groups were compared. Results The operation time, hospital stay and intraoperative blood loss in group A were significantly better than those in group B, the difference was statistically significant (P <0.05). The incidence of complications in group A 6.9% was significantly lower than that in group B 27.6%, the difference was statistically significant (P <0.05). Conclusion Early acute cholecystitis with LC treatment effect is more significant, safe operation, which can be widely applied in clinic.