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1、腹腔镜治疗慢性萎缩性结石性胆囊炎临床探讨［摘要］目的探讨分析腹腔镜治疗慢性萎缩性结石性胆囊炎的临床疗效。方法回顾性分析2012年3月一2014年12月间在该院治疗的74例慢性萎缩性结石性胆囊炎患者的临床记录资料，按照数字随机法将其分为两组：治疗组37例，应用腹腔镜手术治疗，对照组37例，应用开腹胆囊切除术治疗。治疗后比较两组手术时间、术中出血量等观察指标以及不良反应情况。结果治疗组的手术时间、术屮出血量、胃肠功能恢复时间以及住院时间分别为(40.57±7.14)min、(50.33±10.62)mL>(1&16土4.45)h、(4.68±1
2、.15)d,均明显少于对照组，并发症发生率为13.51%,也低于对照组的35.14%,差异有统计学意义(P〈0・05)。结论腹腔镜手术治疗慢性萎缩性结石性胆囊炎的临床疗效显著，值得临床推广应用。［关键词］腹腔镜；结石；胆囊炎［中图分类号］R657.4［文献标识码］A［文章编号］1674-0742(2016)01(a)-0032-03ClinicalObservationofChronicAtrophicCalculousCholecystitisTreatedwithLaparoscopeWANGFanSecondDepartmentofL
3、iver,GallbladderandPancreas,TheFirstHospitalofKimming,Kunming,YurmanProvince,650011China[Abstract]ObjectiveToinvestigatetheclinicaleffectoflaparoscopictreatmentofchronicatrophiccalculouscholecystitis.MethodsAretrospectiveanalysiswasconductedontheclinicaldataof74caseswithch
4、ronicatrophiccalculouscholecystitistreatedinourhospitaifromMarch2012toDecember2014.Thepatientsweredividedintotwogroups,thetreatmentgroupandthecontrolgroupwith37casesineach.Thetreatmentgroupweretreatedbylaparoscopiccholecystectomy,whilethecontrolgroupweretreatedbyopencholec
5、ystectomy.Aftertreatment,theoperativetime,intraoperativebloodlossandotherindicatorsofobservationandincidenceofadversereactionswerecomparedbetweenthetwogroups・ResultsInthetreatmentgroup,theoperativetime,intraoperativebloodloss，gastrointestinalfunctionrecoverytimeandhospital
6、staywas(40.57±7.14)min,(50.33±10.62)mL,(18.16±4.45)h,(4.68+1.15)d,whichwassignificantly1essthanthatinthecontrolgroup,respectively,withstatisticallysignificantdifferences(P<0.05).Theincidenceofadversereactionswasmuchlowerinthetreatmentgroupthanthatinthecontrolgroup(13.51%vs
7、35.14%),thedifferencewasstatisticallysignificant(P<0.05)・ConclusionLaparoscopicsurgeryhasremarkableclinicaleffectinthetreatmentofchronicatrophiccalculouscholecystitis,soitisworthyofclinicalpopularizationandapplication.Keywords]Laparoscope；Stone；Cholecystitis慢性萎缩性结石性胆囊炎是一种特
8、殊的胆囊炎类型，该病患者的胆囊壁组织、胆囊三角常纤维化，与附近组织相互粘连，丧失正常的解剖结构,故增加了手术出血和胆管损伤的几率，曾被列为腹腔镜胆囊切除术(LC)的禁忌证之一[1
