摘要目的 探讨腹腔镜胆囊切除术治疗急性胆囊炎手术时机的选择。方法 按照随机数字表法将2016年2月～2018年5月我院收治的60例急性胆囊炎患者分成两组，各30例。A组患者在发病72 h 内实行手术，B组患者在发病72 h后实行手术，术后比较两组患者手术各项指标、治疗费用以及并发症发生情况。结果 两组患者临床疗效比较，差异无统计学意义（P＞0.05），A组手术时间、肛门排气时间、术后疼痛时间、住院时间短于B组，术中出血量与术后引流量少于B组，并发症总发生率均低于B组，差异均有统计学意义（P＜0.05）。结论 在急性胆囊炎患者发病72 h 内实施腹腔镜胆囊切除术具有良好的临床效果，能够有效缓解患者临床症状，减轻创伤，减少术后感染。
Abstract：Objective To explore the timing of laparoscopic cholecystectomy for treating acute cholecystitis.Methods According to the random number table method,the 60 patients with acute cholecystitis admitted to our hospital from February 2016 to May 2018 were divided into two groups,30 cases in each group.Patients in group A were operated within 72 h of onset,and patients in group B were operated after 72 h of onset.The operation indicators after the operation,treatment costs and complications were compared between the two groups.Results The clinical efficacy of the two groups of patients was not statistically significant (P＞0.05).The operation time,anal exhaust time,postoperative pain time,and hospital stay in group A were shorter than those in group B,and the amount of intraoperative blood loss and postoperative drainage were less than those in group B,the incidence of complications was lower than that in group B,the differences were statistically significant(P＜0.05).Conclusion Laparoscopic cholecystectomy for treatment of patients with acute cholecystitis within 72 h of onset has a good clinical effect,which can effectively relieve the clinical symptoms of patients,reduce trauma,and reduce postoperative infections.
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