CAJ | 학술논문

目的分析腹腔镜胆囊切除术在治疗慢性胆囊炎急性发作的临床疗效。方法选择2012年5月~2014年1月在我院诊断为慢性胆囊炎急性发作的患者共计80例,随机分为开腹手术组(对照组,OC)和腹腔镜手术组(研究组,LC)各40例,对比两组间术中出血量、手术时间,术后疼痛时间、肠功能恢复时间、住院时间及术后并发症等指标。结果研究组的术中出血量、手术时间较对照组减少(P<0.05)；研究组的术后疼痛时间、肠功能恢复时间、住院时间和对照组相比,也明显减少(P<0.05)；两组间的术后并发症差异无统计学意义(P>0.05)。结论慢性胆囊炎急性发作手术治疗,LC优于OC,具有创伤小、出血少、恢复快、并发症少等优点,值得临床进一步推广。
목적분석복강경담낭절제술재치료만성담낭염급성발작적림상료효。방법선택2012년5월~2014년1월재아원진단위만성담낭염급성발작적환자공계80례,수궤분위개복수술조(대조조,OC)화복강경수술조(연구조,LC)각40례,대비량조간술중출혈량、수술시간,술후동통시간、장공능회복시간、주원시간급술후병발증등지표。결과연구조적술중출혈량、수술시간교대조조감소(P<0.05)；연구조적술후동통시간、장공능회복시간、주원시간화대조조상비,야명현감소(P<0.05)；량조간적술후병발증차이무통계학의의(P>0.05)。결론만성담낭염급성발작수술치료,LC우우OC,구유창상소、출혈소、회복쾌、병발증소등우점,치득림상진일보추엄。
Objective To analysis of laparoscopic cholecystectomy in the treatment of chronic cholecystitis acute clinical curative effect.Methods In May 2012-January 2014 in our hospital diagnosed as chronic cholecystitis,a total of 80 patients with acute onset.Results The team of intraoperative blood loss,operative time was reduced( <0.05).Conclusion The acute surgical treatment of chronic cholecystitis,LC is bet er than that of OC,has the advantages of smal trauma,fewer complications,worthy of clinical further promotion.