腹腔镜胆囊切除术治疗急性胆囊炎的效果

赵俊民++李伟++胡鹏程

[摘要]目的 探讨腹腔镜胆囊切除术治疗急性胆囊炎的效果。方法 选择2014年8月～2016年12月我院收治的160例急性胆囊炎患者，按照入院单双号分为对照组和观察组，各80例。对照组行传统开腹胆囊切除术治疗，观察组行腹腔镜胆囊切除术治疗。比较两组的总有效率、手术相关指标、术后恢复情况、镇痛药使用比例和术后并发症发生率。结果 观察组的治疗总有效率显著高于对照组，镇痛药使用比例和术后并发症发生率均显著低于对照组，差异有统计学意义（P<0.05）。观察组的手术时间、下床活动时间、住院天数、肠鸣音恢复时间和肛门排气時间均显著短于对照组，术中出血量显著少于对照组，差异有统计学意义（P<0.05）。结论 腹腔镜胆囊除术治疗急性胆囊炎的临床效果可靠，术后胃肠功能恢复快，安全性高。

[关键词]急性胆囊炎；腹腔镜胆囊切除术；开腹胆囊切除术；胃肠功能

[中图分类号] R657.41 [文献标识码] A [文章编号] 1674-4721（2017）08（b）-0043-03

Effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis

ZHAO Jun-min1 LI Wei1 HU Peng-cheng2

1.Department of General Surgery，Hospital of Traditional Chinese Medicine of Dongxiang District of Fuzhou City in Jiangxi Province，Fuzhou 331800，China；2.Department of Internal Medicine of Traditional Chinese Medicine，Hospital of Traditional Chinese Medicine of Dongxiang District of Fuzhou City in Jiangxi Province，Fuzhou 331800，China

[Abstract]Objective To investigate the effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis.Methods 160 patients with acute cholecystitis in our hospital from August 2014 to December 2016 were selected and divided into the control group and the observation group according to the number of admission，80 cases in each group.Patients in the control group were treated with traditional open cholecystectomy，while the observation group was treated with laparoscopic cholecystectomy.The total effective rate，relative operative indexes，postoperative recovery，the proportion of analgesics and the incidence rate of postoperative complications were compared between the two groups.Results The total effective rate of the observation group was significantly higher than that of the control group，and the proportion of analgesic use and the incidence rate of postoperative complication of the observation group was significantly lower than that of the control group，with significant difference （P<0.05）.The operative time，ambulation time，hospitalization time，recovery time of bowel sound and anal exhaust time of the observation group was significantly shorter than that in the control group，the amount of intraoperative bleeding of the observation group was significantly lower than that of the control group，with significant difference （P<0.05）.Conclusion Laparoscopic cholecystectomy in the treatment of acute cholecystitis has reliable clinical effect，with fast recovery of gastrointestinal function，high safety.

[Key words]Acute cholecystitis；Laparoscopic cholecystectomy；Open cholecystectomy；Gastrointestinal functionendprint