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目的探讨腹腔镜胆囊切除术治疗急性发作期胆囊炎的临床疗效。方法 55例急性发作期胆囊炎患者,按照手术实施方案不同分为开腹组(27例,采用开腹手术进行胆囊切除治疗)与腹腔镜组(28例,在腹腔镜技术辅助下实施微创胆囊切除术),对比两组患者治疗效果。结果腹腔镜组患者手术时间为(38.16±15.67)min,术中出血量为(41.05±6.98)ml,未发现手术并发症情况;开腹组患者手术时间为(57.34±21.52)min,术中出血量为(70.69±9.37)ml,术后出现1例胆管损伤、1例切口感染、1例积液,并发症发生率为11.11%(3/27);腹腔镜组手术时间、术中出血量及并发症发生率均明显优于开腹组,差异具有统计学意义(P<0.05)。结论腹腔镜胆囊切除术治疗急性发作期胆囊炎疗效确切,安全可行,减少手术并发症,值得推广应用。
Objective To investigate the clinical efficacy of laparoscopic cholecystectomy in the treatment of acute cholecystitis. Methods Fifty-five patients with acute cholecystitis were divided into two groups according to the different operative plans: laparotomy group (n = 27, laparotomy cholecystectomy group) and laparoscopic group (n = 28). Laparoscopic technique assisted minimally invasive Cholecystectomy), compared the treatment effect of two groups of patients. Results The operation time of the laparoscopic group was (38.16 ± 15.67) min and the intraoperative blood loss was (41.05 ± 6.98) ml, no complications were found. The operation time of the laparoscopic group was (57.34 ± 21.52) min, The amount of bleeding was (70.69 ± 9.37) ml, 1 case of bile duct injury, 1 case of incision infection and 1 case of effusion. The complication rate was 11.11% (3/27). The laparoscopic operation time, intraoperative bleeding The incidence of complications and complications were significantly better than that of the open group (P <0.05). Conclusions Laparoscopic cholecystectomy for the treatment of acute cholecystitis has definite effect, is safe and feasible, and reduces the complications of operation. It is worthy of popularization and application.