早期及延迟腹腔镜胆囊切除对急性胆囊炎患者的疗效分析

发布时间：2018-11-26 11:03

【摘要】：目的对早期行腹腔镜切除术和推迟行腹腔镜切除术治疗急性胆囊炎的临床疗效进行对照研究。方法将2014年1月至2015年12月期间收治的100名急性胆囊炎伴胆囊结石患者随机分为两组:一组为50例急性发作的胆囊炎患者在入院3 d内行腹腔镜胆囊切除,作为早期手术组;另一组为50例急性发作的胆囊炎患者药物保守治疗3个月后行手术切除,作为推迟手术组,比较两组患者的各项指标。患者的年龄、性别、体温、白细胞计数、ALT等一般资料,用(xs恕纒)表示,t检验进行比较;术后并发症发生率、中转开腹率,使用χ~2检验进行比较;采取SPSS19.0统计学软件进行分析,以P0.05为差异有统计学意义。结果两组在中转开腹率、术后并发症及术后24 h疼痛评分之间的差异无统计学意义(P0.05);但在平均住院时间、恢复工作所需方面,早期手术组分别为(6.9±2.1)d、(12.4±3.7)d明显短于推迟手术组(14.5±5.3)d、(25.8±2.9)d;差异均有统计学意义(t=6.109、13.062,P0.05)。结论在临床经验丰富的医师进行手术的前提下,急性胆囊炎患者早期行腹腔镜胆囊切除相较推迟腹腔镜切除患者而言,在医疗及经济效益等层面上更具优势。
[Abstract]:Objective to compare the clinical effects of early laparoscopic resection and delayed laparoscopic resection in the treatment of acute cholecystitis. Methods from January 2014 to December 2015, 100 patients with acute cholecystitis with cholecystolithiasis were randomly divided into two groups: 50 patients with acute cholecystitis underwent laparoscopic cholecystectomy within 3 days after admission to hospital as the early operative group; Another group consisted of 50 patients with acute cholecystitis treated with conservative therapy for 3 months. Age, sex, body temperature, white blood cell count, ALT and other general data were compared by xs test, the incidence of postoperative complications and the rate of conversion to laparotomy were compared by 蠂 ~ 2 test. SPSS19.0 statistical software was used to analyze, with P0.05 as the difference was statistically significant. Results there was no significant difference in the conversion rate, postoperative complications and 24 h pain score between the two groups (P0.05). However, the average hospitalization time and the need to resume work in the early operation group were (6.9 卤2.1) d, (, 12.4 卤3.7) days shorter than those in the delayed operation group (14.5 卤5.3) d, (, 25.8 卤2.9 days, respectively). The difference was statistically significant (t = 6.109 or 13.062P 0.05). Conclusion Laparoscopic cholecystectomy in patients with acute cholecystitis is superior to delayed laparoscopic cholecystectomy in medical and economic aspects.
【作者单位】：苏州市第七人民医院普通外科;
【分类号】：R657.41

【相似文献】