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腹腔镜胆囊切除术治疗胆囊结石合并胆囊炎的临床观察 被引量:8

Clinical effect of laparoscopic cholecystectomy for cholecystolithiasis and cholecystitis
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摘要 目的:探讨腹腔镜胆囊切除术治疗胆囊结石合并胆囊炎的临床疗效。方法:将某医院收治的260例胆囊结石合并胆囊炎的患者按照治疗方法的不同分为腹腔镜胆囊切除术治疗组(LC组)和开腹胆囊切除术治疗组(OC组),比较两组的临床疗效。结果:LC组的手术时间、术后排气时间、下床活动时间、术后进食时间、抗生素应用时间及住院时间均较OC组减少,术中出血量、疼痛评分、术后3天内最高体温及并发症例数较OC组降低,差异有统计学意义(P<0.05)。结论:腹腔镜胆囊切除术治疗胆囊结石合并胆囊炎出血少,恢复快,并发症少,在临床值得推广。 Objective:To explore the clinical effect of laparoscopic cholecystectomy for cholecystolithiasis and cholecystitis. Methods:260 patients with cholecystolithiasis and cholecystitis in our hospital from 2011 March to 2012 December were divided into two groups of laparoscopic cholecystectomy group ( group LC) and open cholecystectomy group ( group OC),and the clinical effect of two groups was observed and compared. Results:Surgical operation time, postoperative anal exhaust time, ambulation time,antibiotic application time,time of ingestion of food and time of hospitalization in LC group were lower than those in OC group.Bleeding volume, pain scores, the highest temperature after 3 days, and complications were decreased in LC group, the difference was statistically significant (P〈0.05). Conclusion: Laparoscopic cholecystectomy for cholecystolithiasis and cholecystitis has the merits of less bleeding, rapid recovery and fewer complications. It is worthy of clinical popularization.
作者 倪铭 施少兵
出处 《安徽卫生职业技术学院学报》 2013年第3期55-56,共2页 Journal of Anhui Health Vocational & Technical College
关键词 腹腔镜胆囊切除术 胆囊结石 开腹 Laparoscopic cholecystectomy Cholecystolithiasis Open cholecystectomy
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