胆囊切除术治疗急性胆囊炎的临床疗效.doc

[经典]胆囊切除术治疗急性胆囊炎的临床疗效胆囊切除术治疗急性胆囊炎的临床疗效【摘要】目的分析比较腹腔镜和开腹胆囊切除术治疗急性胆囊炎的临床疗效。方法将120例急性胆囊炎患者按手术方式随机分为腹腔镜胆囊切除术组(LC)及开腹胆囊切除术组(0C),每组各60例。术后比较两组的情况。结果LC组手术切口长度、手术时间、术中出血量、胃肠道功能恢复时间、住院时间均优于0C组(P〈0O05),LC组切口感染、胆管损伤、胆痿发生率均明显低于对照组(P〈0O05),差异均有统计学意义。而两组的临床疗效均为100%,差异无统计学意义。结论腹腔镜胆囊切除术治疗急性胆囊炎临床疗效好,安全、有效、可行。【关键词】急性胆囊炎;腹腔镜;胆囊切除术;临床疗效TheclinicaleffectsofcholecystectomyintreatmentofacutecholecystitisZUOChaoOhai。TheSurgicalDepartmentofHepatobiliary,TheCentralHospitalofJiangmencityofGuangDongProvince,JiangMen,529000,China[Abstract]holecystectomyandopencholecystectomyintreatmentofacutecholecystitis^holecystectomygroup(LC)andopencholecystectomygroup(0C),thereweresixtypatientsineachgroup。paredbetweenthetwogroupsafterthesurgery。ResultsThenick1ength,operationtime,theintra-operativebleedingvolume,timeofgastrointestinalrecoveryandhospitaiizationtimeinLCgroupweremuchsuperiortoOCgroup(P〈0O05)"Whiletheinfectionofincisionalwound,bileductinjury,biliaryfistulaofLCwerelowerthanOC(P<0^05),thediferencewerestatisticalsignificanceOButtheclinicalcurativeeffectoftwogroupwere100%,whichwasnoobviouslydifference。ConclusionTheclinicalcurativeeffectofcuringacutecholecystitisbycelioscopeisgood,anditissafe,effectiveandfeasible.[Keywords]Acutecholecystitis;Laparoscope;Cholecystectomy;Theclinicaleffects随着患者对微创手术的需求,腹腔镜技术因其创伤小、术野清晰、安全性高、手术时间短,对患者造成的痛苦小、术后并发症少等优点,使其逐步为广大医生及患者接受。腹腔镜技术在临床上的应用范围不断扩大且日趋成熟,取得了比较满意的疗效。随之腹腔镜胆囊切除术(holecys