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目的 比较急诊和延期腹腔镜手术治疗急性胆囊炎的临床疗效.方法 回顾性分析经腹腔镜治疗的98例急性胆囊炎患者临床资料,根据起病时间将98例胆囊炎患者分为急诊组 (发病≤72 h) 和延期组 (发病＞72 h),每组49例.比较两组治疗效果.结果 急诊组治疗总有效率 (95.92％) 高于延期组 (83.67％),急诊组中转开腹率 (2.0％) 低于延期组 (10.20％);急诊组并发症比例 (2.04％) 低于延期组 (16.33％);差异均有统计学意义 (P＜0.05).结论 急诊和延期腹腔镜均可有效治疗急性胆囊炎,虽然急诊腹腔镜手术患者中转开腹率低,并发症少,但其发病时间不宜作为腹腔镜手术的依据.“,”Objective To investigate the clinical efficacy of emergency surgery and delayed laparoscopic surgery in the treatment of acute cholecystitis. Methods A total of 98 patients with acute cholecystitis were divided into the emergency group and the delayed group, with 49 cases in each group. The effects were compared between the two groups. Results The total effective rate in the emergency group (95. 92％) was higher than that in the delayed group (83. 67％), and the conversion rate in the emergency group (2. 00％) was lower than that in the delayed group (10. 20％), and the proportion of complications in the emergency group (2. 04％) was lower than that in the delayed group (16. 33％), and the differences were significant (P ＜ 0. 05) . Conclusions Both the application of emergency and delayed laparoscopic surgery have good clinical effect in the treatment of acute cholecystitis. Although the rate of conversion to laparotomy in emergency laparoscopic surgery is low and the complications are few, the time of onset is not suitable for laparoscopic surgery.