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急性胆囊炎患者腹腔镜胆囊切除术与开腹胆囊切除术78例临床分析 被引量:5

Clinical analysis of 78 cases of patients with acute cholecystitis laparoscopic cholecystectomy
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摘要 目的探讨腹腔镜胆囊切除术治疗急性胆囊炎的临床疗效。方法选择2010年1月~2012年5月笔者所在医院收治的急性胆囊炎患者共78例作为研究对象,按照治疗方式将其分为实验组和对照组,实验组采用腹腔镜胆囊切除术治疗,对照组采用常规开腹胆囊切除术治疗,观察两组患者治疗效果。结果两组患者胆囊切除率均为100%,实验组其手术时间、术中出血量、下床活动时间、肛门排气时间以及住院时间等指标均明显少于对照组,差异有统计学意义(P<0.05);两组患者术后实验组的并发症发生率为8.00%,显著低于对照组并发症的发生率16.98%,差异有统计学意义(P<0.05)。结论腹腔镜胆囊切除术治疗急性胆囊炎创伤小、患者痛苦小、术后恢复快、预后好,值得临床推广和应用。 Objective To evaluate the clinical efficacy for the treatment of acute cholecystitis laparoscopic cholecystectomy.Methods 78 cases of patients with acute cholecystitis in our hospital from January 2010 to May 2012 were divided into experimental and control groups in accordance with the treatment,effects of the experimental group with laparoscopic cholecystectomy and the control group with conventional open cholecystectomy treatment were observed.Results The patients cholecystectomy rate was 100%,the experimental group,operative time,blood loss,ambulation time,anal exhaust time and hospital stay time were significantly less than the control group(P0.05),with difference significance;experimental group of postoperative complications was 8.00%,significantly lower than the incidence of complications of the control group with 16.98%(P0.05).Conclusion In the treatment of acute cholecystitis trauma laparoscopic cholecystectomy has little pain,rapid postoperative recovery and a good prognosis,is worthy of promotion and application.
出处 《中国医药科学》 2012年第22期189-190,共2页 China Medicine And Pharmacy
关键词 腹腔镜胆囊切除术 急性胆囊炎 开腹胆囊切除术 Laparoscopic cholecystectomy Acute cholecystitis Open cholecystectomy
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