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1、腹腔镜胆囊切除术治疗急性胆囊炎的效果观察【摘要】目的:分析腹腔镜胆囊切除术治疗急性胆囊炎的效果。方法:收集2012年2月-2014年10月笔者所在医院收治的150例急性胆囊炎患者,按照不同的治疗方法,分为治疗组与对照组,各75例。治疗组行腹腔镜胆囊切除术,对照组行传统开腹胆囊切除术,对比两组治疗效果。结果:治疗组切口长度、术中出血量、术后引流量等指标明显优于对照组(P<0.05)o治疗组肠鸣音恢复时间、下床时间和住院时间明显少于对照组,疼痛评分低于对照组(P〈0・05)。治疗组患者并发症发生率明显低
2、于对照组(P<0.05)o结论:腹腔镜胆囊切除术治疗急性胆囊炎,安全有效,有利于降低并发症发生率,促进患者术后恢复,值得临床推广。【关键词】胆囊切除术;腹腔镜;急性胆囊炎中图分类号R575.6文献标识码A文章编号1674-6805(2015)12-0001-03TheEffectObservation()「LaparoscopicCholecystectomyintheTreatmentofAcuteChoiecystitis/SUNShu-song,HUMing-zhu,MENGMin.//Chi
3、neseandForeignMedicalResearch,2015,13(12):1-3[Abstract]Objective:Toanalyzetheeffectoflaparoscopiccholecystectomyinthetreatmentofacutecholecystitis.Method:150patientswithacutecholecystitisfromFebruary2012t.oOctober2014inourhospitalwereselected,according
4、tothedifferentmethodsoftreatmenttheyweredividedintothetreatmentgroupandthecontrolgroup,eachgroupwas75cases.Thetreatmentgroupwasunderwent,laparoscopiccholecystectomy,thecontrolgroupwasunderwentconventionalopencholecystectomy,thetreatmenteffectofthetwogr
5、oupswerecompared.Result:Theincisionlength,bloodloss,Postoperativedrainageandotherindicatorsofthetreatmentgroupwerebetterthanthoseofthecontrolgroup(P<0.05)•Bowe1soundsrecoverytime,bedtimeandhospitalstaysofthetreatmentgroupweresignificantlylessthanthoseo
6、fthecontrolgroup,thepainscoresofthetreatmentgroupwaslowerthanthatofthecontrolgroup(P<0.05)・Theincidenceofcomplicationsinthetreatmentgroupwassignificant1y1owerthanthatofthecontrolgroup(P<0.05).Conclusion:Laparoscopiccholecystectomyissafeandeffectiveinth
7、etreatmentofacutecholecystitis,ithelpstoreducetheincidenceofcomplications.Itmayhelptoreducetheincideneeofcomplicati()ns,andpromotepostoperativerecovery,worthyofpromotion.【Keywords】Cholecystectomy;Laparoscopy;AcutecholecystitisFirst-author''saddress:Liu
8、heDistrictPeople'sHospitalofNanjingCity,Nanjing210000,Chinadoi:10.14033/j.enki.cfmr.2015.12.001随着医疗水平的发展,腹腔镜胆囊切除术逐渐成为急性胆囊炎的首选方法,其治疗具备了良好的无创性、安全性,可减少术中出血、促进术后恢复、降低并发症发生率等[1]。为了分析腹腔镜胆囊切除术治疗急性胆囊炎的效果,2012年2月-2014年10月笔者所在医院对收治的急性胆囊炎患者分为两组,分别