资源描述：
《腹腔镜胆囊切除术在基层医院治疗急性胆囊炎的价值.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
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%),差异有统计学意义(字2二5.000,P=0.025<0.05)；观察组切口长度(3.5±0.7)cm、手术时间(95・3±14・6)min、术中出血量(3
2、7.5±8.8)ml、住院时间(6.3土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)10-0020-02TheValueofLaparoscopicCholecystectomy
3、intheTreatmentofAcuteChoiecystitisinthe卩rimaryHospital/TTANJie.//ChineseandForeignMedicalResearch,2014,12(10)：20-21[Abstract]Objective：Tostudythevalueoflaparoscopiccholecystectomyinthetreatmentofacutecholecystitisintheprimaryhospita1.Method：80patientswithacutechole
4、cystitisfromApril2010toApril2013inourhospitalsurgicaldepartmentweredividedintocontrolgroupandobservationgroupaccordingtosurgicalprocedure,patientsinthecontrolgroupwereunderwentopencholecystectomy,patientsintheobservationgroupwereunderwentlaparoscopiccholecyslectomy
5、.Theeffectsandrelatedsurgicalcasesinthetwogroupswerecompared・Result：Theclinicaleffectintheobservationgroupwas90.0%,significantlyhigherthan70.0%inthecontrolgroup,therewasstatisticallysignificant(字2=5.000,P二0.025<0.05).Theincisionlengthintheobservationgroupwas(3.5+0.
6、7)cm,surgerytimewas(95.3土14.6)min,bloodlosswas(37.5±8.8)ml,lengthofhospitalstaywas(6.3±1.4)days,lessthanthoseinthecontrolgroup,therewerestatisticallysignificant(t二20.670,10.856,21.427,11.919,P<0.05).Therateofnalgesicusagewas10.0%,lessthanthatincontrolgroup(字2=5.000
7、,P<0.05).Conclusion:Therearetheadvantagessuchassmallincision,theclearoperativefield,completeseparationoftheanatomyforLaparoscopiccholecystectomy.Theclinicaleffectsisbetterinobservationgroupthanincontrolgroup,itisworthyofapplicationintheprimaryhospital.【Keywords]Lap
8、aroscopy；Opencholecystectomy；AcutecholecystitisFirst-authorsaddress：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
