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目的分析研究腹腔镜胆囊切除术在急性坏疽性胆囊炎中的治疗效果和优势。方法 70例急性坏疽性胆囊炎患者,将其随机分为观察组和对照组,各35例,对照组患者实施开腹手术治疗,观察组患者实施腹腔镜胆囊切除术治疗,对两组患者的治疗效果加以比较和分析。结果观察组患者中有34例患者顺利完成腹腔镜胆囊切除术,1例患者中转为开腹手术切除。观察组患者的手术时间、引流管拔除时间、手术过程中患者出血量以及住院天数明显低于对照组患者,差异具有统计学意义(P<0.05);观察组患者的并发症情况显著低于对照组患者,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坏疽性胆囊炎的治疗效果好,对患者的创伤小,患者创口恢复时间快,手术过程中患者的痛苦小,属于一项安全有效的治疗方法 ,值得在临床中加以推广使用。
Objective To analyze the therapeutic effects and advantages of laparoscopic cholecystectomy in acute gangrenous cholecystitis. Methods Seventy patients with acute gangrenous cholecystitis were randomly divided into observation group and control group, 35 cases in each group. Patients in control group underwent laparoscopic surgery and laparoscopic cholecystectomy in observation group. Therapeutic effects to be compared and analyzed. Results In the observation group, 34 patients underwent laparoscopic cholecystectomy successfully and one patient underwent open surgery. The patients in the observation group had significantly lower operative time, drainage time, amount of bleeding during the operation and hospitalization days than those in the control group (P <0.05). Complications in the observation group were significantly lower than those in the control group Group patients, the difference was statistically significant (P <0.05). Conclusion Laparoscopic cholecystectomy for the treatment of acute gangrenous cholecystitis treatment effect is good, small trauma to patients, patients with wound recovery time fast, the pain of patients during surgery is small, is a safe and effective treatment, it is worth in the clinic To promote the use.