腹腔镜胆囊切除术治疗急性胆囊炎82例临床分析

目的：探讨腹腔镜胆囊切除术治疗急性胆囊炎的疗效及临床优势。方法回顾性分析178例急性胆囊炎的临床资料，其中82例行腹腔镜手术治疗作为腹腔镜组，96例行开腹手术治疗作为开腹手术组，观察两组术中、术后情况及治疗效果。结果腹腔镜组82例均治愈，78例顺利完成腹腔镜胆囊切除术，4例中转开腹。腹腔镜组手术时间、术中出血量、肠蠕动恢复时间、下床时间、住院时间分别为（48．2±21．7） min、（55．3±10．3）mL、（3．2±1．4）d、（3．7±0．4）h、（6．7±0．4）d，均显著低于开腹手术组的（73．8±30．2）min、（97．8±19．4）mL、（5．4±1．3）d、（7．8±0．5）h、（11．8±1．5）d（t＝3．307、2．806、2．582、3．203、2．931，均P＜0.05）。腹腔镜组并发症发生率为6．4％，开腹手术组并发症发生率为8．3％，两组术后并发症发生率差异无统计学意义（χ2＝0．514，P＝0．473）。结论腹腔镜胆囊切除术治疗急性胆囊炎是一种可行、安全、有效的治疗方法，具有较强优势。

Clinical analysis of laparoscopic cholecystectomy treatment for 82 cases of acute cholecystitis

Objective To explore the clinical advantages and curative effect of laparoscopic cholecystectomy for acute cholecystitis .Methods The clinical data of 178 cases with acute cholecystitis were retrospectively analyzed.82 cases underwent laparoscopic operation were selected as the laparoscopic group .96 patients underwent open operation treatment were selected as the open operation group .Results In the laparoscopic group ,82 cases were cured,78 cases were successfully completed laparoscopic cholecystectomy ,4 cases were converted to open surgery . The operation time,amount of bleeding,intestinal recovery time,bed time,hospitalization time in the laparoscopic group were （48.2 ±21.7）min,（55.3 ±10.3）mL,（3.2 ±1.4）d,（3.7 ±0.4）h,（6.7 ±0.4）d,which were signifi-cantly lower than （73.8 ±30.2）min,（97.8 ±19.4）mL,（5.4 ±1.3）d,（7.8 ±0.5）h,（11.8 ±1.5）d in the open operation group （t=3.307,2.806,2.582,3.203,2.931,all P＆lt;0.05）.The incidence rate of complications in the laparoscopic group was 6.4%,which in the open operation group was 8.3%,the difference between the two groups was not statistically significant（χ2 =0.514,P=0.473）.Conclusion Laparoscopic cholecystectomy in the treatment of acute cholecystitis is feasible ,safe,and effective,with a strong advantage .