腹腔镜胆囊切除术治疗急性胆囊炎的效果

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Abstract ObjectiveTo investigate the effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis.Methods160 patients with acute cholecystitis in our hospital from August 2014 to December 2016 were selected and divided into the control group and the observation group according to the number of admission,80 cases in each group.Patients in the control group were treated with traditional open cholecystectomy,while the observation group was treated with laparoscopic cholecystectomy.The total effective rate,relative operative indexes,postoperative recovery,the proportion of analgesics and the incidence rate of postoperative complications were compared between the two groups.ResultsThe total effective rate of the observation group was significantly higher than that of the control group,and the proportion of analgesic use and the incidence rate of postoperative complication of the observation group was significantly lower than that of the control group,with significant difference (P＜0.05).The operative time,ambulation time,hospitalization time,recovery time of bowel sound and anal exhaust time of the observation group was significantly shorter than that in the control group,the amount of intraoperative bleeding of the observation group was significantly lower than that of the control group,with significant difference (P＜0.05).ConclusionLaparoscopic cholecystectomy in the treatment of acute cholecystitis has reliable clinical effect,with fast recovery of gastrointestinal function,high safety.

Key words： Acute cholecystitis Laparoscopic cholecystectomy Open cholecystectomy Gastrointestinal function

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	Articles by authors
	ZHAO Jun-min
	LI Wei
	HU Peng-cheng

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ZHAO Jun-min,LI Wei,HU Peng-cheng. Effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis[J]. 中国当代医药, 2017, 24(23): 43-45.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I23/43

[1]	黄善波，金恩斯别克·孜亚.急性胆囊炎行腹腔镜胆囊切除术引起中转开腹的危险因素分析[J].中国医学创新，2014，11（23）：147-149.
[2]	任宏伟.腹腔镜与开腹胆囊切除术治疗老年急性胆囊炎的效果对比观察[J].中国当代医药，2015，22（18）：24-26.
[3]	杜世员.腹腔镜手术对胆囊结石伴急性胆囊炎患者的治疗探讨[J].中国医学创新，2016，13（7）：141-144.
[4]	郑筱萸.中药新药临床研究指导原则（试行）[M].北京：中国医药科技出版社，2002.
[5]	束庆兵.急性胆囊炎行腹腔镜胆囊切除术临床研究[J].中外医学研究，2011，9（35）：30-31.
[6]	郝润明.急性胆囊炎行腹腔镜胆囊切除术手术时机及并发症预防[J].中国药物与临床，2015，15（5）：725-727.
[7]	张锟，王翔，张彤，等.急性胆囊炎患者胆汁病原菌感染特点及其对抗菌药物的耐药性分析[J].实用肝脏病杂志，2016，19（2）：230-232.
[8]	王庚壮，李霆，石利国.老年急性胆囊炎手术时机和方式的选择[J].中国老年学杂志，2013，33（6）：1272-1274.
[9]	张润福.腹腔镜治疗急性胆囊炎的手术时机与疗效探讨[J].基层医学论坛，2013，17（20）：2643-2644.
[10]	朱卫国，郑小平.腹腔镜技术治疗急性胆囊炎的临床分析[J].中国当代医药，2016，23（4）：32-34.
[11]	邓得应，刘润香.腹腔镜胆囊切除术治疗胆囊结石并发急性胆囊炎 1070 例[J].当代医学，2013，19（6）：27-28.
[12]	郭利生.腹腔镜与传统开腹手术治疗老年急性胆囊炎的疗效比较[J].中外医学研究，2013，19（32）：54-55.
[13]	李衍训，孙晋津，刘庚，等.腹腔镜与开腹手术治疗高龄急性胆囊炎患者临床分析[J].天津医科大学学报，2015，21（4）：311-314.
[14]	纪春才.腹腔镜与传统开腹手术治疗老年急性胆囊炎的疗效比较[J].河南外科学杂志，2013，19（1）：75.
[15]	李平军，嵇振岭，孙鸿源，等.精细解剖-分离技术预防腹腔镜胆囊切除术中胆管损伤9500例体会[J].中华消化内镜杂志，2010，27（10）：540-542.
[16]	徐宇，王昭南，黄夏友，等.急性结石性胆囊炎不同腹腔镜手术时机结局比较[J].肝胆胰外科杂志，2010，22（3）：227-229.