CAJ | 학술논문

目的：主要对腹腔镜治疗胆囊结石急性发作临床疗效进行了分析思考。方法选取我院2013年7月～2014年7月胆囊结石急性发作患者122例，并且将其分为实验组以及对照组，每组人数分别为61例，对照组患者采用传统的开腹胆囊切除术，而且观察组患者则是采用腹腔镜下胆囊切除术，并且对两组患者临床指标进行观察分析。结果通过临床指标的观察，实验组患者的手术时间、出血量、疼痛分数都小于对照组的患者指标。同时实验组的排气时间、下床时间以及住院时间等对对照组患者相比都比较少，实验组患者并发症的发生率也低于对照组，两组患者差异在统计学上都具有意义（P＜0.05）。结论在胆囊结石急性发作临床治疗中，腹腔镜治疗具有很大的优势，其安全可靠性高，术后并发症较少，有助于患者的康复。
목적：주요대복강경치료담낭결석급성발작림상료효진행료분석사고。방법선취아원2013년7월～2014년7월담낭결석급성발작환자122례，병차장기분위실험조이급대조조，매조인수분별위61례，대조조환자채용전통적개복담낭절제술，이차관찰조환자칙시채용복강경하담낭절제술，병차대량조환자림상지표진행관찰분석。결과통과림상지표적관찰，실험조환자적수술시간、출혈량、동통분수도소우대조조적환자지표。동시실험조적배기시간、하상시간이급주원시간등대대조조환자상비도비교소，실험조환자병발증적발생솔야저우대조조，량조환자차이재통계학상도구유의의（P＜0.05）。결론재담낭결석급성발작림상치료중，복강경치료구유흔대적우세，기안전가고성고，술후병발증교소，유조우환자적강복。
Objective Mainly analyzed laparoscopic treatment of acute attack gallstones clinical curative effect.Methods 122 patients with acute attack gallstones in our hospital among July 2013 to July 2014, and it can be divided into the experimental group and control group, the number of each group is 61 cases. The control group were treated by traditional open cholecystectomy, and observation group of patients were treated by laparoscopic cholecystectomy, and the clinical indexes were observed in both groups.Results Through clinical index of observation, the operation time, blood loss, pain scores of experimental group of patients were significantly less than the patients of control group. At the same time, the experimental group exhaust time, bed time and hospitalization time are smaller compared to the control group patients, the incidence of complications also below the control group. Experimental group patients differences between the groups was statistically significant (P<0.05). Conclusions In clinical treatment of acute attack gallstones, laparoscopic treatment has great advantages, it has high safety and reliability, less postoperative complications, and it is helpful for the recovery of patients.