摘要
目的:对比分析早期急性胆囊炎(单纯急性胆囊炎发作72小时内或胆囊炎半胆囊结石急性发作72小时内)LC与小切口胆囊切除术手术的临床疗效。方法:回顾性分析单纯急性胆囊炎或胆囊炎半胆囊结石急性发作行胆囊切除术病例200例,其中行LC胆囊切除术(LC)127例,小切口胆囊切除术胆囊切除术(OC)73例。结果:LC组的术中出血量、手术时间、下床活动时间、肠道功能恢复时间、住院时间明显低于OC组(P<0.05);两组术后并发症发生率及死亡率无明显差异(P>0.05)。结论:LC治疗早期急性胆囊炎的临床效果优于OC。
Objective：To compare and analysis the clinical efficacy of early acute cholecystitis（simple acute cholecystitis within 72 hours and acute cholecystitis with gallstone within 72 hours） on laparoscopy and laparotomy.Methods：A retrospective analysis of our hospital simple acute cholecystitis or acute cholecystitis with gallstone,cholecystectomy cases 200 cases,including laparoscopic cholecystectomy（LC） 127 cases of open cholecystectomy（OC） 73 cases.Results：the of blood loss,operative time,ambulation,bowel function recovery time,hospital stay in LC group was significantly lower than the OC group（P〈0.05）;the incidence of postoperative complications and mortality was no significant difference（P〉0.05）.Conclusion：LC the clinical treatment of early acute cholecystitis is better than OC.
关键词
LC胆囊切除术
急性胆囊炎
laparoscopic cholecystectomy； acute cholecystitis
