| 廖重五 马苏 宋涛 郑晨 申亚伟.腹腔镜胆囊摘除术与传统开腹手术治疗急性胆囊炎的临床疗效对比[J].,2016,16(26):5135-5137 |
| 腹腔镜胆囊摘除术与传统开腹手术治疗急性胆囊炎的临床疗效对比 |
| Clinical Curative Effect of Laparoscopic Gallbladder Excision Comparedwith Traditional Laparotomy of Acute Cholecystitis |
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| DOI： |
| 中文关键词: 腹腔镜胆囊摘除术 传统开腹手术 急性胆囊炎 |
| 英文关键词: Laparoscopic gallbladder excision Traditional laparotomy Acute cholecystitis |
| 基金项目:陕西省自然科学基金项目(2009JQ4016) |
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| 中文摘要: |
| 目的：比较腹腔镜胆囊摘除术与传统开腹手术在急性胆囊炎的临床疗效。方法：选取我院2013 年3 月至2014 年3月期间收
治的急性胆囊炎患者100 例，随机分为实验组和对照组，每组50 例。对照组采用传统开腹手术治疗，实验组采用腹腔镜胆囊摘除
术（LC）治疗。观察并比较两组患者的手术时间、术中出血量、临床疗效、住院时间、胃肠道恢复情况及术后并发症的发生率等。结
果：与对照组比较，实验组患者术中出血量少、手术时间短，差异具有统计学意义（P<0.05）；与对照组比较，实验组患者术后肠道功
能恢复时间及下床活动时间均较早，且住院时间较短，差异具有统计学意义（P<0.05）；实验组总有效率（94.0%）高于对照组
（82.0%），差异具有统计学意义（P<0.05）；实验组患者不良反应发生率（24.0%）低于对照组（52.0%），差异具有统计学意义（P<0.
05）。结论：腹腔镜胆囊摘除术对于改善急性胆囊炎患者的治疗效果具有积极作用，出血少损伤小，术后恢复好，适于在临床上进
一步推广和应用。 |
| 英文摘要: |
| Objective:To investigate the clinical curative effect of laparoscopic gallbladder excision on the treatment of acute
cholecystitis.Methods:100 patients with acute cholecystitis who were treated in our hospital from March 2013 to March 2014 were
selected and randomly divided into the experimental group and the control group, with 50 cases in each group. The patients in the control
group were treated with traditional laparotomy surgery, while the patients in the experimental group were treated with laparoscopic
gallbladder excision technique (LC). Then the operation time, the blood loss, clinical effects, hospitalization, recovery of intestinal
function and activity and the incidence of postoperative complications in the two groups were observed and compared.Results:Compared with the control group, the operation time in the experimental group was shorter, and the blood loss was lower, and the
differences were statistically significant (P<0.05); Compared with the control group, the recovery of intestinal function and the time of
activity were earlier, and the hospitalization was shorter, and the differences were statistically significant (P<0.05); The clinical effective
rate in the experimental group was 94.0%, which was higher than 82.0% in the control group, and the difference was statistically
significant (P<0.05); The incidence of postoperative complication in the experimental group was 24.0%, which was lower than 54.0%in
the control group, and the difference was statistically significant (P<0.05).Conclusion:Laparoscopic gallbladder excision plays a positive
role in the treatment of acute cholecystitis, with less blood loss and better recovery, which is suitable for clinical application. |
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