魏福光

【摘 要】目的：评价急性胆囊炎患者应用腹腔镜下胆囊切除术治疗的效果。方法：选择本院确诊并治疗的80例急性胆囊炎患者为研究对象进行研究，以盲选抽签法进行分组，分为两组，分别是参照组40例，进行常规开腹手术治疗，试验组40例，进行腹腔镜下胆囊切除术治疗，统计两组的并发症情况及临床相关指标。对比两组的治疗满意度。结果：对比研究数据得知，试验组术后并发症发生率是2.50%，显著低于参照组的15.00%，差异具有统计学意义（P<0.05）；试验组手术及住院时间均显著短于参照组，术中出血量较参照组少，手术切口较参照组短，术后排气时间及下床活动时间均较参照组早，VAS评分较参照组低，差异具有统计学意义（P<0.05）；试验组患者的总满意度（95.00%）明显高于参照组（75.00%），差异具有统计学意义（P<0.05）。结论：在急性胆囊炎的治疗中，腹腔镜下胆囊切除术效果明显优于常规开腹治疗，具有切口小、并发症少、恢复快、出血少等优点，有利于患者术后康复，值得临床应用。

【关键词】腹腔镜下胆囊切除术；急性胆囊炎；效果

Effect of laparoscopic cholecystectomy on acute cholecystitis

Wei Fuguang

Shanxi Province Yangquan City The Fourth People’s Hospital， Shanxi Yangquan 045000

【Abstract】Objective：To evaluate the effect of laparoscopic cholecystectomy in patients with acute cholecystitis.Methods：80 patients with acute cholecystitis diagnosed and treated in our hospital were selected as the research object. They were divided into two groups by blind selection and lot drawing. 40 cases in the reference group were treated with routine laparotomy， and 40 cases in the experimental group were treated with laparoscopic cholecystectomy. The complications and clinical related indexes of the two groups were counted. The treatment satisfaction of the two groups was compared.Results：According to the comparative study data， the incidence of postoperative complications in the experimental group was 2.50%， significantly lower than 15.00% in the reference group（P<0.05）.The operation and hospital stay in the experimental group were significantly shorter than those in the reference group， the amount of intraoperative bleeding was less， the surgical incision was shorter，the postoperative exhaust time and out of bed activity time were earlier than those in the reference group， and the VAS score was lower than those in the reference group（P<0.05）. The total satisfaction of patients in the experimental group （95.00%） was significantly higher than that in the reference group （75.00%）（P<0.05）.Conclusion：In the treatment of acute cholecystitis， laparoscopic cholecystectomy is significantly better than conventional laparotomy. It has the advantages of small incision， less complications， rapid recovery and less bleeding. It is conducive to the postoperative rehabilitation of patients and is worthy of clinical application.

【Key？Words】Laparoscopic cholecystectomy； Acute cholecystitis； Effect

急性膽囊炎为临床急腹症之一，确诊后需要快速接受手术治疗，急性胆囊炎的发生与胆结石等存在密切相关性，随着疾病进展可发生严重并发症。常规开腹治疗的创伤较大，对于术后恢复存在一定的阻碍。相对于开腹治疗而言，腹腔镜治疗可明显减轻创伤，对促进术后恢复具有理想价值。本研究遴选我院治疗的80例患者为探究对象实施对照分析，分组后给予不同手术治疗措施，旨在评价腹腔镜下胆囊切除术治疗的价值，现将研究内容进行如下报告。……