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1、急性炎症期腹腔镜胆囊切除术的临床效果和安全性观胡力(松滋市人民医院湖北松滋434200)【摘要】目的:探讨临床对急性炎症期肭囊炎患者实施腹腔镜肭囊切除术的临床效果与安全性。方法:将近年到我院治疗的72例急性炎症期胆囊炎患者纳入研究,同时以随机数表法平分成两组,对照组36例实施传统开腹手术救治,观察组36例通过腹腔镜胆囊切除术救治,研究两组的临床施治情况。结果:①临床效果:观察组实施治疗后的手术成功率相比对照组明显更高,住院时间更短,有统计学意义(P<0.05)。②安全性:两组围术期均有患者发生并发症,观察组是2.78%,相比
2、对照组的22.22%明显更低,有统计学意义(P<0.05)。结论:选择腹腔镜胆囊切除术对急性炎症期胆囊炎患者实施救治,手术安全可行,且成功率高,适合推广。【关键词】急性炎症期胆囊炎;腹腔镜胆囊切除术;临床效果;安全性【中图分类号】R4【文献标识码】B【文章编号】1003-5028(2015)6-0519-01ToobservetheclinicaleffectandsafetyoflaparoscopiccholecystectomyintheacuteinflammatoryphaseHuLiThePeople'sHosp
3、italofSongzi,Songzi434200,China【Abstract】Objective:Toinvestigatetheclinicalimplementationofclinicaleffectandsafetyoflaparoscopiccholecystectomyforacuteinflammationperiodinpatientswithcholecystitis.Methods:72patientsinrecentyearstoacuteinflammationcholecystitistreat
4、edinourhospitalwererecruitedintothestudyandrandomnumbertablemethodtodivideintotwogroups,36casesinthecontrolgrouptoimplementthetraditionalopensurgeryfortreatment,theobservationgroupof36casesoflaparoscopiccholecystectomyinthetreatmentofthetwogroupsofclinicaltreatment
5、,researchsituation.Results:Theclinicaleffectofobservationgroupafterthetreatmentsuccessrateoftheoperationcomparedtothecontrolgroupwassignificantlyhigher,shorterhospitalstay,withstatisticalsignificance(P<0.05).Thesafety:complicationsoccurredintwogroupswereperioper
6、ativepatients,theobservationgroupwas2.78%,comparedwith22.22%inthecontrolgroupweresignificantlylower,withstatisticalsignificance(P<0.05).Conclusion:Theselectionoflaparoscopiccholecystectomyforacuteinflammationperiodtreatmentinpatientswithcholecystitis,operationis
7、safeandfeasible,andthesuccessrateishigh,suitableforpromotion.【Keywords】Acuteinflammationcholecystitis;Laparoscopiccholecystectomy;Clinicaleffect;safety急性炎症期胆囊炎是消化系统病变中较常见的一类,具奋起病迅速、病情易进展等特征,且通常易与胆囊管结石或胆囊颈部嵌顿等合并出现。外科手术仍是a前临床医师治疗该病的冇效首选疗法,近年冇报道在腹腔镜辅助下行胆囊切除治疗,发现此疗法有尚可
8、疗效[1】。本研究中,笔者选择腹腔镜胆囊切除术对36例患者进行了救治和对照研宄,取得较理想的研宄结果。现作如下阐述。1资料与方法1.1一般资料选择2013年8月至2015年1月到我院治疗的72例急性炎症期胆囊炎患者充当本次实验的主要对象,其中男、女各有42例和30例,年龄范围33〜72岁,