腹腔镜胆囊切除术治疗胆囊颈部结石嵌顿并急性化脓性胆囊炎的疗效

摘要

Objective:To observe the curative effect of laparoscopic cholecystectomy in the treatment of calculi incarcerated in necK of gallbladder and acute suppurative cholecystitis .Methods:80 cases of calculi incarcerated in necK of gallbladder and acute suppurative cho-lecystitis were divided into observation group and control group according to the difference in therapeutic methods ,40 cases in each group .The observation group received laparoscopic cholecystectomy ,and the control group accepted conventional open operation ,with the time of operation ,intraoperative blood loss ,the time of hospital stay and complication between the two groups compared .Results:There were significant differences in the time of operation ,intraoperative blood loss ,the time of hospitalization ,and the complication rate between the two groups .The time of operation and hospitalization in the observation group was shorter than those in the control group , and intraoperative blood loss in the former group was less than that in the latter group ( P <0 .05) .Conclusion:Laparoscopic cholecys-tectomy in the treatment of calculi incarcerated in necK of gallbladder and acute suppurative cholecystitis is of better clinical effect ,and higher treatment security ,which can help patients recover quicKly .%目的:观察腹腔镜胆囊切除术治疗胆囊颈部结石嵌顿合并急性化脓性胆囊炎的疗效.方法:80 例胆囊颈部结石嵌顿并急性化脓性胆囊炎患者 ,按照治疗方法的差异分为观察组与对照组 ,每组各40例.其中观察组患者以腹腔镜胆囊切除术进行治疗 ,对照组患者以常规开腹手术进行治疗 ,对比两组患者的手术时间、术中出血量、住院时间及并发症等. 结果:两组患者在手术时间、术中出血量、住院时间、并发症发生率等指标上比较 ,差异有统计学意义 ,观察组患者的手术时间、住院时间均短于对照组 ,术中出血量也少于对照组( P <0 .05 ).结论:腹腔镜胆囊切除术治疗胆囊颈部结石嵌顿并急性化脓性胆囊炎具有较好的临床效果 ,治疗安全性高 ,利于患者的快速康复.