腹腔鏡技術(shù)治療急性膽囊炎的臨床分析

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1、腹腔鏡技術(shù)治療急性膽囊炎的臨床分析［摘要］目的探討腹腔鏡技術(shù)治療急性膽囊炎的臨床效果。方法選擇2010年1月?2014年12月在我院治療的急性膽囊炎患者84例的臨床資料進(jìn)行回顧性分析。根據(jù)患者的治療方法分為腹腔鏡組44和開腹組40例。腹腔鏡組采用腹腔鏡手術(shù)治療，開腹組采用開腹手術(shù)治療，比較兩組的臨床療效。結(jié)果腹腔鏡組的術(shù)中出血量顯著少于開腹組，術(shù)后鎮(zhèn)痛率顯著低于開腹組，術(shù)后3d內(nèi)的體溫顯著低于開腹組，術(shù)后24h內(nèi)進(jìn)食比例顯著高于開腹組，手術(shù)時(shí)間、住院時(shí)間顯著短于開腹組，差異有統(tǒng)計(jì)學(xué)意義(P0.0

2、5)。不同手術(shù)時(shí)機(jī)：腹腔鏡組的術(shù)中出血量少于開腹組，手術(shù)時(shí)間、住院時(shí)間短于開腹組(P0.05)o結(jié)論與傳統(tǒng)開腹手術(shù)比較，腹腔鏡膽囊切除術(shù)能夠促進(jìn)術(shù)后恢復(fù)，縮短住院時(shí)間,對(duì)患者創(chuàng)傷小，且手術(shù)時(shí)機(jī)越早，患者術(shù)后恢復(fù)越快。［關(guān)鍵詞］腹腔鏡技術(shù);急性膽囊炎；膽囊切除術(shù)；開腹手術(shù)［中圖分類號(hào)］R575.6+1［文獻(xiàn)標(biāo)識(shí)碼］A［文章編號(hào)］1674-4721(2016)02(a)-0032-03Clinicalanalysisoflaparoscopictechonologyintreatmentofacut

3、echolecystitisZHUWei-guoZHENGXiao-pingDepartmentofGeneralSurgery,FogangPeople7sHospitalinGuangdongProvince,Fogang511600,China[Abstract]ObjectiveTodiscussclinicaleffectoflaparoscopictechonologyintreatmentofacutecholecystitis.MethodsClinicaldataof84cas

4、eswithacutecholecystitisfromJanuary2010toDecember2014wererespectivelyanalyzed.Allcasesweredividedintolaparoscopicgroup(44cases)andlaparotomygroup(40cases)accordingtooperationmethod.Laparoscopicgroupwastreatedwithlaparoscope,andlaparotomygroupwastreat

5、edwithlaparotomy.Clinicalefficacybetweentwogroupwascompared.ResultsBleedingamountduringoperationinlaparoscopicgroupwasobviouslylessthanthatoflaparotomygroup,analgesicrateafteroperationwasobviouslylowerthanthatoflaparotomygroup,thebodytemperaturein3da

6、ysafteroperationwasobviouslylowerthanthatoflaparotomygroup,feedingrateafter24hoperationwasobviouslyhigherthanthatoflaparotomygroup,operativetimeandhospitalstaywasobviouslyshorterthanthatoflaparotomygrouprespectively(P0.05).ConclusionComparedwithtradi

7、tionallaparotomysurgery,laparoscopiccholecystectomycanpromotepostoperativerecovery,shortenhospitalstaywithlesstrauma,andtheearliertimingofsurgery,thefasterispostoperativerecoveryinpatients.[Keywords]Laparoscopictechonology；Acutecholecystitis；Cholecys

8、tectomy；Laparotomy手術(shù)治療是治療急性膽囊炎的有效方法，開腹膽囊切除術(shù)治療急性膽囊炎有100多年的歷史，因其具有較好的安全性、徹底性，至今仍在臨床上被廣泛應(yīng)用。隨著腹腔鏡技術(shù)的發(fā)展,在腹腔鏡下行膽囊切除術(shù)技術(shù)也越來越成熟,目前已成為治療急性膽囊炎的常規(guī)方法[1]。急性膽囊炎作為臨床急腹癥,對(duì)其的手術(shù)方法、手術(shù)時(shí)機(jī)仍然存在爭(zhēng)議。本研究通過對(duì)84例患者臨床資料的回顧性分析，分析腹腔鏡手術(shù)治療急性膽囊炎膽囊切除術(shù)的臨床效果和安全性。1資料與方法1.1一般資料回顧性分析2010年1月?2