CAJ | 학술논문

目的：探讨腹腔镜胆囊切除术治疗急性胆囊炎的临床应用价值。方法：2010年6月-2013年12月收治行手术治疗的急性胆囊炎患者129例，回顾性分析其临床资料，按照所行治疗术式不同分为腔镜组69例，行腹腔镜下胆囊切除术治疗和开腹组60例，行常规开腹手术治疗，对两组患者手术相关指标及术后情况进行对比分析。结果：腔镜组手术耗时、术中出血量及术后首次肛门排气时间均明显短于开腹组(P＜0.01)；腔镜组患者术后切口感染、胆汁漏发生率明显低于开腹组(P＜0.05)。结论：腹腔镜微创胆囊切除术治疗急性胆囊炎具有出血少、术后并发症少等优势，值得临床推广应用。
목적：탐토복강경담낭절제술치료급성담낭염적림상응용개치。방법：2010년6월-2013년12월수치행수술치료적급성담낭염환자129례，회고성분석기림상자료，안조소행치료술식불동분위강경조69례，행복강경하담낭절제술치료화개복조60례，행상규개복수술치료，대량조환자수술상관지표급술후정황진행대비분석。결과：강경조수술모시、술중출혈량급술후수차항문배기시간균명현단우개복조(P＜0.01)；강경조환자술후절구감염、담즙루발생솔명현저우개복조(P＜0.05)。결론：복강경미창담낭절제술치료급성담낭염구유출혈소、술후병발증소등우세，치득림상추엄응용。
Objective:To investigate the clinical application value of laparoscopy and laparotomy in the treatment of acute cholecystitis.Methods:129 cases with acute cholecystitis who had been treated by operation from June 2010 to December 2013.We retrospectively analyzed their clinical datas.They were divided into the laparoscopy group(69 cases were treated with laparoscopic cholecystectomy) and the open group(60 cases were treated with conventional open operation) according to the different surgical treatment.We analyzed the operation related index and postoperative condition of the two groups.Results:The operation time, amount of bleeding during operation and postoperative anal exhaust time for the first time of the laparoscopic group were significantly shorter than those of the open group(P<0.01).The postoperative incision infection,bile leakage rate of the laparoscopic group were significantly lower than those in the open group(P<0.05).Conclusion:The laparoscopic cholecystectomy in the treatment of acute cholecystitis with less bleeding,less postoperative complications and other advantages,so it is worthy of clinical application.