微创技术和开腹手术对急性胆囊炎的临床治疗效果分析

马乐群，李新房

（陕西省周至县人民医院外一科，陕西 西安，710400）

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摘要：

目的 探析腹腔镜微创技术和开腹手术治疗急性胆囊炎（结石嵌顿型）的临床效果。方法 选择我院收治的急性胆囊炎 （结石嵌顿性）患者148例，对其临床资料进行回顾性分析，依照手术方式将其分为对照组（71例）与观察组（77例）。在接受常规消炎治疗后，对照组患者行开腹手术治疗，观察组患者行腹腔镜微创治疗。比较两组患者的临床治疗效果。结果 观察组患者手术时间、术后下床活动时间及住院时间均短于对照组（P<0.05），术中出血量与术后引流量均少于对照组（P<0.05）。观察组手术成功率明显高于对照组（P<0.05）。观察组术后并发症发生率明显低于对照组（P<0.05）。结论 腹腔镜治疗急性胆囊 炎能够大大减少患者所受创伤，降低并发症发生率，从而缩短恢复时间，促进患者早日出院，其临床价值值得肯定。

关键词：腹腔镜；开腹手术；急性胆囊炎；结石嵌顿

中图分类号：R657.4文献标志码：A文章编号：2096-1413(2017)21-0070-02

Clinical analysis of minimally invasive technique and open surgery on acute cholecystitis
MA Le-qun, LI Xin-fang
(the First Department of Surgery, People``s Hospital of Zhouzhi County, Xi``an 710400, China)

ABSTRACT: Objective To explore the clinical effect of minimally invasive technique of laparoscopy and open surgery on acute cholecystitis (calculus). Methods A total of 148 patients with acute cholecystitis (calculus) treated in our hospital were selected, and the clinical data were analyzed retrospectively. The patients were divided into control group (71 cases) and observation group (77 cases) according to the operation method. After the conventional anti-inflammatory treatment, the control group underwent open surgery, the observation group underwent laparoscopic minimally invasive treatment. The treatment effects of the two groups were compared. Results The time of operation, postoperative time of off-bed and the time of hospitalization in the observation group were shorter than those of the control group (P<0.05); the intraoperative blood loss and postoperative drainage in the observation group were less than those in the control group (P<0.05). The success rate of the observation group was significantly higher than that of the control group (P<0.05). The incidence of postoperative complications in the observation group was significantly lower than that in the control group (P<0.05). Conclusion Laparoscopic treatment of acute cholecystitis can greatly reduce the trauma of patients, reduce the incidence of complications, thereby shortening the recovery time and promoting early discharge of patients, its clinical value is worthy of recognition.
KEYWORDS: laparoscopy; open surgery; acute cholecystitis; incarcerated cholecystitis

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