摘要
目的探讨腹腔镜胆囊切除术(Laparoscopic Cholecystectomy,LC)治疗急性胆囊炎的临床疗效及安全性。方法回顾性分析本科收治的100例急性胆囊炎患者的临床诊治资料,随机分为2组,腹腔镜组(n=60)行腹腔镜胆囊切除手术治疗,开腹组(n=40)采用传统的开腹胆囊切除术治疗;对比两组患者的手术切口长度、手术耗时、术中出血量,以及术后止痛剂使用情况、住院时间、并发症。结果腹腔镜组有2例中转开腹手术,手术成功58例(96.7%);腹腔镜组患者的平均手术切口长度、平均手术时间、术中平均出血量、术后止痛剂使用率、平均住院时间均明显优于开腹组,差异有显著性(P<0.05);腹腔镜组并发症发生率明显低于开腹组(P<0.05)。结论腹腔镜胆囊切除术治疗急性胆囊炎疗效确切、安全,能够缩短住院时间并降低手术并发症发生率。
Objective To explore the clinical effects and safety of laparoscopic cholecystectomy （LC） on acute cholecystitis. Methods 100 patients were divided into 2 groups randomly. The laparoscopy group （n=60） took laparoscopic cholecystectomy （LC）. The open cholecystectomy group （n=40） took open cholecystectomy. Result The length of incision, duration of operation, the perioperative amount of bleeding, the cases took antalgica, the length of stay in hospital in the laparoscopy group were much better than those in the open cholecystectomy group （P〈 0.05）. The incidence rates of the laparoscopy group was much lower than those in the open cholecystectomy group （P〈 0.05）. Conclusion Laparoscopic cholecystectomy has certain effect and better outcomes in treating acute cholecystitis.
出处
《中国医药指南》
2012年第1期29-30,共2页
Guide of China Medicine
关键词
急性胆囊炎
腹腔镜胆囊切除术
开腹胆囊切除术
疗效
安全性
Acute cholecystitis
Laparoscopic cholecystectomy
Open cholecystectomy
Clinical effects
Safety
