开腹胆囊切除术和腔镜胆囊切除术治疗急性胆囊炎临床对比分析

目的 探讨开腹胆囊切除术和腔镜胆囊切除术治疗急性胆囊炎的临床效果.方法 采用回顾性分析的方法,分析我院收治的急性胆囊炎患者的临床资料,依据手术方式不同分为观察组（腔镜胆囊切除术组）50例和对照组（开腹胆囊切除术组）50例.结果 观察组手术切口长度、手术时间、术中出血量、术后排气时间、术后下床时间、住院时间均明显优于对照组,观察组腹胀、阻塞性黄疸、术后感染、术后出血等并发症发生率明显低于对照组,P 〈 0.05,差异均有统计学意义.结论 腹腔镜下治疗急性胆囊炎的创伤小、恢复快,临床效果明显.

The clinical comparative analysis of curing acute cholecystitis by open cholecystectomy and laparoscopic cholecystectomy

Objective To approach clinical result of curing acute cholecystitis by open cholecystectomy and laparoscopic cholecystectomy. Methods To analyze clinical data of acute cholecystitis patients,which was to be divided into detection group （laparoscopic cholecystectomy group）50 cases control group （open cholecystectomy group）50 cases. Results The operation incision length, operation time, intraoperative bleeding volume, postoperative exhaust time, post- operative ambulation time, hospitalization time of detection group were better than control group. Obstructive jaundice, abdominal distension, postoperative infection, postoperative bleeding and other complications of detection group were lower than control group, P 〈 0.05, the difference had statistical significance. Conclusion The small trauma, quick re- covery of curing acute cholecystitis by laparoscopic eholecystectomy,the clinical result was obviously.