摘要
目的:探讨腹腔镜胆囊切除术治疗急性胆囊炎的手术情况及对患者安全性的影响。方法:选取2018年5月-2019年5月本院收治的急性胆囊炎患者98例,按照随机数字表法将患者分为观察组和对照组,各49例。对照组应用开腹胆囊切除术治疗,研究组应用腹腔镜胆囊切除术治疗。观察比较两组的手术情况、术后疼痛情况及不良事件发生情况。结果:研究组的手术时间、术后排气时间及住院时间均短于对照组,差异均有统计学意义(P<0.05)。术后6 h,两组VAS评分比较,差异无统计学意义(P>0.05);术后24、48、72 h研究组的VAS评分均低于对照组,差异均有统计学意义(P<0.05)。研究组的切口化脓、胆管损伤及切口渗血等不良事件总发生率低于对照组,差异有统计学意义(P<0.05)。结论:在急性胆囊炎患者治疗中应用腹腔镜胆囊切除术,可明显缩短患者的手术时间、术后排气时间以及住院时间,降低患者的VAS评分,且患者术后不良事件发生率较低,值得临床推广应用。
Objective:To investigate the operative of laparoscopic cholecystectomy in the treatment of acute cholecystitis and its effect on patients’ safety.Method:A total of 98 patients with acute cholecystitis admitted to our hospital from May 2018 to May 2019 were selected and divided into two groups by random number table method.The control group was treated with open cholecystectomy,the study group was treated with laparoscopic cholecystectomy.The operation,postoperative pain and adverse events of the two groups were observed and compared.Result:The operation time,postoperative exhaust time and hospital stay time of the study group were shorter than those of the control group,the differences were statistically significant (P<0.05).At 6 h after surgery,VAS scores of two groups were not significantly different (P>0.05),VAS scores of the study group at 24,48 and 72 h after surgery were lower than those of the control group,the differences were statistically significant (P<0.05).The total incidence of adverse events such as abscess of the incision,bile duct injury and bleeding of the incision in the study group was lower than that in the control group,the difference was statistically significant (P<0.05).Conclusion:Laparoscopic cholecystectomy in the treatment of acute cholecystitis can significantly shorten the operation time,postoperative exhaust time and hospital stay,reduce VAS score of patients,the incidence of postoperative adverse events is low,it’s worthy of clinical application.
作者
丁益民
DING Yimin(Gongqingcheng City People’s Hospital,Gongqingcheng 332020,China)
出处
《中国医学创新》
CAS
2020年第33期145-148,共4页
Medical Innovation of China
