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目的探讨腹腔镜胆囊切除术与开腹胆囊切除术治疗急性胆囊炎的疗效差异。方法对2014年11月至2016年10月86例急性胆囊炎患者随机分组,实验组患者应用腹腔镜胆囊切除术治疗,对照组患者给予开腹胆囊切除术治疗。观察比较两组患者手术指标、术后恢复情况、并发症发生率和疼痛指标差异。结果实验组患者手术时间、手术出血量、并发症发生率同对照组比较明显下降,术后排气时间、肠鸣音恢复时间和下床活动时间显著缩短,疼痛程度明显缓解,差异有统计学意义(P<0.05)。结论针对急性胆囊炎患者采用腹腔镜胆囊切除术治疗可提高治疗效果,缓解患者痛苦,降低并发症发生率,其具有创伤小、并发症小、安全性高等特点。
Objective To investigate the difference between laparoscopic cholecystectomy and open cholecystectomy in the treatment of acute cholecystitis. Methods From November 2014 to October 2016, 86 patients with acute cholecystitis were randomly divided into two groups. The patients in the experimental group were treated by laparoscopic cholecystectomy and the control group were treated by open cholecystectomy. The operation indexes, postoperative recovery, incidence of complications and pain indicators were observed and compared between the two groups. Results In the experimental group, the operation time, the amount of bleeding and the incidence of complications were significantly decreased compared with the control group. The postoperative exhaust time, bowel sounds recovery time and the time to bed ambulation were significantly shortened, and the pain was significantly relieved. The differences were statistically significant Significance (P <0.05). Conclusions The treatment of acute cholecystitis with laparoscopic cholecystectomy can improve the therapeutic effect, alleviate the suffering of patients and reduce the incidence of complications. It has the advantages of less trauma, less complications and higher safety.