CAJ | 학술논문

目的：探讨腹腔镜手术治疗急性胆囊炎的临床疗效。方法将我院128例急性胆囊炎患者按照不同的治疗方法将其分为两组一组为观察组采用腹腔镜治疗另一组为对照组采用传统的开腹手术治疗。比较两组的治疗效果和患者满意度。结果观察组患者出血量、手术时间及住院时间均低于对照组的患者，t检验结果表明，两组在三个指标间的差异具有统计学意义（p＜0．05）。观察组的患者并发症的发生率明显低于对照组的患者，且在胆心反射及切口感染脂肪液化方面的差异具有统计学意义（p＜0．05）。结论腹腔镜手术创伤小、患者痛苦少、住院时间短、术后恢复快，是一种安全、有效的手术方式，值得在临床上推广应用。
목적：탐토복강경수술치료급성담낭염적림상료효。방법장아원128례급성담낭염환자안조불동적치료방법장기분위량조일조위관찰조채용복강경치료령일조위대조조채용전통적개복수술치료。비교량조적치료효과화환자만의도。결과관찰조환자출혈량、수술시간급주원시간균저우대조조적환자，t검험결과표명，량조재삼개지표간적차이구유통계학의의（p＜0．05）。관찰조적환자병발증적발생솔명현저우대조조적환자，차재담심반사급절구감염지방액화방면적차이구유통계학의의（p＜0．05）。결론복강경수술창상소、환자통고소、주원시간단、술후회복쾌，시일충안전、유효적수술방식，치득재림상상추엄응용。
Objective To investigate the clinical efficacy of abdominal operation in the treatment of acute cholecystitis .Methods 128 cases of acute cholecystitis patients according to the different treatment methods can be divided into two groups as the observation group treated by laparoscopy and another group as control group by traditional open operation treatment .Compare two groups of curative effect and patient satisfaction .Results Patients with bleeding volume ,operation time and hospitaliza-tion time were lower than the control group of patients,t test results showed that,the difference was statistically significant at the three factors between the two groups (p<0.05).Observation of complications in patients group were significantly lower than the control group of patients,and statistically significant differences in fat liq-uefaction of gallbladder heart reflection and incisional infection(p<0.05).Conclusion laparoscopic operation little trauma,less pain,shorter hospitalization time,rapid postoperative recovery,is a safe,effective operation mode,worth in clinical application.