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腹腔镜辅助下胆囊切除术治疗急性结石性胆囊炎临床观察 被引量:5

Clinical Observation of Laparoscopic Cholecystectomy for Acute Calculous Cholecystitis
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摘要 目的:探讨腹腔镜胆囊切除术治疗急性结石性胆囊炎的临床疗效。方法:将我院2009-2011年间收治的84例急性结石性胆囊炎患者随机分为传统开腹胆囊切除术治疗组(对照组)和腹腔镜胆囊切除术治疗组(观察组),每组各42例,比较两组患者的术中出血量、术后排气时间、下床活动时间、术后住院天数以及并发症发生情况。结果:观察组患者术中出血量、术后排气时间、下床活动时间以及住院天数均少于对照组,组间差异有统计学意义(P<0.05)。观察组患者术后并发症发生率为9.5%,显著低于对照组的28.6%,组间差异有统计学意义(P<0.05)。结论:腹腔镜胆囊切除术治疗急性结石性胆囊炎临床疗效确切,手术创伤小,并发症发生率低,患者术后恢复快,值得临床进一步推广使用。 Objective:To explore the clinical curative effect of laparoscopic cholecystectomy treatment for acute calculous cholecystitis.Methods:84 patients with acute calculous cholecystitis in our hospital from 2009 to 2011 years were randomly divided into the traditional open cholecystectomy treatment group(control group) and laparoscopic cholecystectomy treatment group(observation group),42 cases in each group,compared amount of intraoperative bleeding,postoperative exhaust time,activity time,postoperative hospital stay and postoperative complications in the two groups.Results:The amount of intraoperative bleeding,postoperative exhaust time,activity time,postoperative hospital stay of patients in observation group were lower than that in control group,the difference between two groups was statistically significant(P0.05).The postoperative complication rate of patients in observation group was 9.5%,significantly lower than that of control group 28.6%,the difference between two groups was statistically significant(P0.05).Conclusion:Laparoscopic cholecystectomy treatment for acute calculous cholecystitis has good clinical curative effect,operation wound is small,and has low complication rate,patients can recover quickly,it is worthy of further clinical using.
作者 黎才
出处 《医学理论与实践》 2012年第23期2874-2874,2895,共2页 The Journal of Medical Theory and Practice
关键词 急性结石性胆囊炎 腹腔镜 临床疗效 Acute calculous cholecystitis Laparoscopic cholecystectomy Clinical curative effect
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