于长江 甘立德

[摘要]目的 探讨急性胆囊炎患者应用开腹手术及腹腔镜手术治疗的临床疗效。 方法 将80例急性胆囊炎患者随机分为开腹组及腹腔镜组两组，每组40例，分别给予开腹手术治疗及腹腔镜手术治疗，对比两组患者接受治疗后的临床治疗效果。 结果 两组患者术中手术时间比较差异无统计学意义（P>0.05），而腹腔镜组患者术中出血量、术后排气时间、术后下床时间、引流量及住院时间均明显低于开腹组，差异有统计学意义（P<0.05），且两组患者手术相关并发症比较腹腔镜组明显少于开腹组，差异有统计学意义（P<0.05）。 结论 急性胆囊炎患者应用腹腔镜手术治疗可显著提高临床治疗效果，同时可降低手术相关并发症的发生率。

[关键词]开腹手术；腹腔镜手术；急性胆囊炎

[中图分类号]R657.4 [文献标识码]B [文章编号]2095-0616（2014）20-142-03

The comparative analysis of curative effect of laparotomy and laparoscopic surgery on treating acute cholecystitis

YU Changjiang GAN Lide

Yongrong Mining Company General Hospital of Rongchang，Chongqing 412460，China

[Abstract]Objective To discusses the clinical curative effect of patients with acute cholecystitis laparotomy and laparoscopic surgery application. Methods 80 cases of patients with acute cholecystitis were randomly divided into laparotomy group and laparoscopic group，40 cases in each group.Patients were given laparotomy and laparoscopic surgery treatment，compared clinical therapeutic effect of two groups after treatment. Results Two groups of patients with intraoperative time had no statistical difference（P>0.05）.Laparoscopic group of patients with intraoperative haemorrhage，postoperative exhaust time，postoperative ambulation time，led traffic and length of hospital stay were significantly lower than laparotomy group（P<0.05）.Compare two groups of patients with surgery related complications is also statistically significant，the laparoscopic group is superior to laparotomy group（P<0.05）. Conclusion In patients with acute cholecystitis can significantly improve the clinical application effect by laparoscopic surgery treatment，also can reduce the incidence rate of complications related to the operation at the same time.

[Key words]Open operation；Laparoscopic surgery；Acute cholecystitis

急性胆囊炎是以胆囊壁出现明显的急性充血、水肿为主要病理基础，以右季肋部疼痛、压痛及恶心、呕吐为主要临床表现的急腹症之一。本病可由细菌感染、暴饮暴食及免疫力低下所引发，可并发冠心病、菌血症及感染性休克等疾病，严重者可危及患者生命[1]。本病的首选治疗方法为胆囊切除术。目前临床应用的胆囊切除方法主要有开腹胆囊切除术手术及腹腔镜下胆囊切除术两种，且不同手术治疗方式其所得临床治疗效果也存在差异[2-4]。本研究对我院近年来应用开腹手术及腹腔镜手术治疗急性胆囊炎的疗效进行分析，报道如下。

1 资料与方法

1.1 一般资料

将80例我院收治的急性胆囊炎患者随机分为两组，分别给予开腹胆囊切除术治疗（开腹组）及腹腔镜下胆囊切除术治疗（腹腔镜组），每组40例。所有入选患者均为2012年1月～2014年2月间入院，均符合急性胆囊炎诊断。患……