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目的探究并比较在急性胆囊炎治疗中腹腔镜胆囊切除术和小切口胆囊切除术的临床应用效果,以供参考。方法选取2016年2月到2017年3月之间本院所接收的急性胆囊炎患者60例,随机分为两组,分别为对照组与治疗组,两组的患者数均为30例,给予对照组患者小切口胆囊切除术进行治疗,给予治疗组患者腹腔镜胆囊切除术进行治疗,比较两组患者的术中出血率、住院时间与并发症的发生率。结果对照组患者的术中出血率明显高于治疗组患者的术中出血率,两组之间的差异具有显著统计学意义(P<0.05);对照组患者的住院时间明显比治疗组患者的住院时间长,组间差异具有统计学意义(P<0.05);治疗组患者并发症的发生率明显低于对照组患者并发症的发生率,差异具有明显统计学意义(P<0.05)。结论腹腔镜胆囊切除术能够有效治疗急性胆囊炎,降低术中出血率,减少患者的住院时间,从而降低患者部分的经济负担,使并发症的发生率得到有效降低,此法值得进一步在临床上进行推广与使用。
Objective To investigate and compare the clinical effects of laparoscopic cholecystectomy and small incision cholecystectomy in the treatment of acute cholecystitis for reference. Methods Sixty patients with acute cholecystitis received from our hospital between February 2016 and March 2017 were randomly divided into control group and treatment group. The number of patients in both groups was 30 The patients in control group were treated by small incision cholecystectomy. The patients in treatment group were treated by laparoscopic cholecystectomy. The intraoperative bleeding rate, length of hospital stay and complication rate were compared between the two groups. Results The rate of intraoperative hemorrhage in the control group was significantly higher than that in the treatment group, the difference between the two groups was statistically significant (P <0.05); the hospitalization time in the control group was significantly longer than that in the treatment group The hospitalization time was longer and the difference between the two groups was statistically significant (P <0.05). The incidence of complications in the treatment group was significantly lower than that in the control group, with significant difference (P <0.05). Conclusions Laparoscopic cholecystectomy can effectively treat acute cholecystitis, reduce the rate of intraoperative bleeding, reduce the hospitalization time, and thus reduce the economic burden on patients, so that the incidence of complications can be effectively reduced, this method deserves further clinical study To promote and use.