腹腔镜胆囊切除术在基层医院治疗急性胆囊炎的价值

摘要

目的：研究腹腔镜胆囊切除术在基层医院治疗急性胆囊炎的价值。方法：将2010年4月-2013年4月在笔者所在医院外科住院治疗的80例急性胆囊炎患者按照手术方式分为对照组与观察组，对照组行开腹胆囊切除术，观察组行腹腔镜胆囊切除术，比较两组疗效及相关手术情况。结果：观察组临床治疗效果(90.0%)明显高于对照组(70.0%)，差异有统计学意义(字2=5.000，P=0.025<0.05)；观察组切口长度(3.5±0.7)cm、手术时间(95.3±14.6)min、术中出血量(37.5±8.8)ml、住院时间(6.3±1.4)d、止痛剂使用率(10.0%)低于对照组，差异均有统计学意义(t=20.670、10.856、21.427、11.919，字2=5.000，P<0.05)。结论：腹腔镜胆囊切除术具有切口小、术野清晰、解剖结构分离彻底的优点，临床应用效果优于开腹手术，值得基层医院推广应用。%Objective:To study the value of laparoscopic cholecystectomy in the treatment of acute cholecystitis in the primary hospital.Method:80 patients with acute cholecystitis from April 2010 to April 2013 in our hospital surgical department were divided into control group and observation group according to surgical procedure,patients in the control group were underwent open cholecystectomy,patients in the observation group were underwent laparoscopic cholecystectomy.The effects and related surgical cases in the two groups were compared.Result:The clinical effect in the observation group was 90.0%, significantly higher than 70.0%in the control group,there was statistically significant(X2=5.000,P=0.025<0.05).The incision length in the observation group was (3.5±0.7)cm,surgery time was (95.3±14.6) min,blood loss was (37.5±8.8)ml,length of hospital stay was (6.3±1.4)days,less than those in the control group,there were statistically significant(t=20.670,10.856,21.427,11.919,P<0.05).The rate of nalgesic usage was 10.0%,less than that in control group(X2=5.000,P<0.05).Conclusion:There are the advantages such as small incision,the clear operative field,complete separation of the anatomy for Laparoscopic cholecystectomy.The clinical effects is better in observation group than in control group,it is worthy of application in the primary hospital.