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1、腹腔镜胆囊切除术在基层医院治疗急性胆囊炎的价值【摘要】目的：研究腹腔镜胆囊切除术在基层医院治疗急性胆囊炎的价值。方法：将2010年4月-2013年4月在笔者所在医院外科住院治疗的80例急性胆囊炎患者按照手术方式分为对照组与观察组，对照组行开腹胆囊切除术，观察组行腹腔镜胆囊切除术，比较两组疗效及相关手术情况。结果：观察组临床治疗效果(90.0%)明显高于对照组(70.0%),差异冇统计学意义(字2=5.000,P=0.025<0.05)；观察组切口长度(3.5±0.7)cm、手术时间(95・3土14・6)min、术中出血量(37
2、.5土&8)ml、住院时间(6.3±1.4)d、止痛剂使用率(10.0%)低于对照组，差异均有统计学意义(t二20.670、10.856、21.427、11.919,字2=5.000,P<0.05)o结论：腹腔镜胆囊切除术具有切口小、术野清晰、解剖结构分离彻底的优点，临床应用效果优于开腹手术，值得基层医院推广应用。【关键词】腹腔镜；开腹胆囊切除术；急性胆囊炎中图分类号R575.6文献标识码A文章编号1674-6805(2014)10-0020-02TheValueofLaparoscopicCholecystectomyint
3、heTreatmentofAcuteChoiecystitisinthePrimaryHospital/TIANJie.//ChineseandForeignMedicalResearch,2014,12(10)：20-21[Abstract]Objective:Tostudythevalueoflaparoscopiccholecystectomyinthetreatmentofacutecholecystitisintheprimaryhospital.Method：80patientswithacutecholecyst
4、itisfromApril2010toApril2013inourhospitalsurgicaldepartmentweredividedintocontrolgroupandobservationgroupaccordingtosurgicalprocedure,patientsinthecontrolgroupwereunderwentopencholecystectomy,patientsintheobservationgroupwereunderwentlaparoscopiccholecystectomy.Thee
5、ffectsandrelatedsurgicalcasesinthetwogroupswerecompared.ResuIt：Theclinicaleffectintheobservationgroupwas90.0%,significantdyhigherthan70.0%inthecontrolgroup,therewasstatisticallysignificant(字2=5.000,P=0.025<0.05).Theincisionlengthintheobservationgroupwas(3.5±0.7)cm,s
6、urgerytimewas(95.3±14.6)min，bloodlosswas(37.5±8.8)ml,lengthofhospitalstaywas(6.3±1.4)days,lessthanthoseinthecontrolgroup,therewerestatistical1ysignificant(t二20.670,10.856,21.427,11.919,P〈0・05)・Therateofnalgesicusagewas10.0%,lessthanthatincontrolgroup(字2=5.000,P<0.05
7、).Conelusion:Therearetheadvantagessuchassmallincision,theclearoperativefield,completeseparationoftheanatomyforLaparoscopiccholecystectomy.Theclinicaleffectsisbetterinobservationgroupthanincontrolgroup,itisworthyofapplicationintheprimaryhospital.【Keywords]Laparoscopy
8、；Opencholecystectomy；AcutecholecystitisFirst-author"saddress：TheCentralHospitalofLaifengCounty,Laifeng445700,China急性胆囊炎是肝胆外科临床中较为常见的疾病，常常是
