腹腔镜治疗胆囊结石急性发作的疗效观察

目的探讨腹腔镜治疗胆囊结石急性发作的临床疗效。方法选取2010年6月——2013年6月间于我院行手术治疗的胆囊结石急性发作患者112例,按期就诊顺序进行编号并随机分为对照组（56例）和观察组（56例）,对照组患者行传统开腹胆囊切除术,观察组患者行腹腔镜下胆囊切除术,观察两组患者各临床指标。结果观察组患者手术时间（89.44±9.47）min、出血量（33.67±8.15）mL、疼痛分数（2.64±1.01）分均明显少于对照组患者相应指标（109.45±10.47）min、（124.52±9.48）mL、（5.84±2.05）分,且观察组患者排气时间（2.86±0.68）d、下床时间（1.89±0.98）d、住院时间（7.02±2.04）d均明显短于对照组患者相应指标（5.42±1.24）、（3.08±1.22）、（15.34±3.58）d,组件差异在统计学上均有意义（P〈0.05）;观察组患者残石率（5.36%）与对照组（3.57%）相差不明显（P〉0.05）,而起并发症发生率明（3.57%）显低于对照组（10.71%）,差异有统计学意义（P〈0.05）。结论腹腔镜治疗胆囊结石急性发作安全、有效,术后并发症少、患者痛苦小、恢复快,值得推广。

Observe the curative effect of laparoscopic treatment of acute gallstone disease

Objective To investigate the clinical effect of laparoscopic cholecystectomy for acute attack of. Methods 112 patients of gallstone acute with surgical operation treatment in our hospital from 2010？June to 2013 June, to the visiting sequence numbering andwere randomly divided into control group（56 cases）and observation group（56 cases）, the control group underwent conventional open cholecystectomy, the observation group underwent laparoscopic cholecystectomy resection,the clinical indexes of two groups were observed. Results Patients with operation time（89.44±9.47） min, the amount of bleeding（33.67±8.15）ml,pain scores（2.64±1.01）% was significantly less than that in control group corresponding index（109.45 ±10.47） min,（124.52±9.48） ml,（5.84± 2.05）%, and the patients in the observation group the exhaust time（2.86 ±0.68）d,（1.89±0.98） bed time, hospitalization time in D（7.02±2.04）d was significantly shorter in the group corresponding index control（5.42±1.24）d,（3.08±1.22）d,（15.34±3.58）d, the differences were statistically significant component（P〈0.05）;observation group patients with residual stone rate（5.36%） and the control group（3.57%） have no significant difference（P〈0.05）, and the incidence of complications of Ming（3.57%） waslower than that of the control group（10.71%）, a statistically significant（P〈0.05）. Conclusion laparoscopic treatment of acute attack of safe,effective cholecystolithiasis, fewer complications, less pain, faster recovery of patients, is worthy of promotion.