腹腔镜胆囊切除术治疗急性发作期胆囊炎的临床分析

腹腔镜胆囊切除术治疗急性发作期胆囊炎的临床分析

马振刚

【期刊名称】《中国医药导刊》

【年(卷),期】2015(0)1

【摘要】目的：探讨腹腔镜胆囊切除术治疗急性发作期胆囊炎的临床效果，为临床诊疗提供依据。方法：选取2012年1月至2014年1月我院收治的80例急性发作期胆囊炎患者为临床研究资料，随机分组获得对照组和观察组，各40例，观察组接受腹腔镜胆囊切除手术，对照组接受传统开腹胆囊切除术，对比分析两组治疗效果及并发症等。结果：观察组40例患者中38例完成腹腔镜胆囊切除手术，2例中转开腹，其中1例为Mirizzi综合征，1例因胆囊三角粘连紧密，均于于术中及时中转开腹以治疗。观察组和对照组在有效率、并发症和手术时间方面，两组比较均存在差异统计学意义（P＜0.05），观察组治疗效果优于对照组。结论：腹腔镜胆囊切除术治疗急性发作期胆囊炎的临床较好，安全可行，可有效降低手术意外发生率，提高手术成功率。%Objective: To investigate the treatment of laparoscopic cholecystectomy in acute cholecystitis exacerbation of clinical results,that provide the basis for clinical diagnosis and

treatment.Methods:80 cases of cholecystitis patients with acute exacerbation of clinical research data in our hospital from January 2012 toJanuary 2014,randomized to the control group and the observation group to get all 40 cases,the observation group underwent laparoscopic cholecystectomy, the control group received conventional open cholecystectomy, comparative analysis of the effect of treatment, and

complications.Results:40 patients of the observation group, 38 cases of laparoscopic cholecystectomy,two cases laparotomy, including one case of Mirizzi syndrome, one case of gallbladder triangle close adhesion, both in laparotomy in patients with timely treatment. The observation group and the control group in an efficient,complications and operative time, the two groups were statistically significant differences (P<0.05), the observation group than the control group treatment.Conclusion:Laparoscopic cholecystectomy clinical treatment of acute exacerbation of cholecystitis better,safe and feasible, can effectively reduce the incidence of surgical accidents, improve surgical success rates.

【总页数】2页(P34-35)

【作者】马振刚

【作者单位】山东省济南市商河县人民医院普外科，商河 251600

【正文语种】中文

【中图分类】R657.4

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