急性胆囊炎行急诊腹腔镜胆囊切除术的处理技巧

沈丰

doi:10.7619/jcmp.201920025

急性胆囊炎行急诊腹腔镜胆囊切除术的处理技巧

沈丰

Management skills for emergency laparoscopic cholecystectomy in treating acute cholecystitis

SHEN Feng

摘要

摘要:
目的探讨急性胆囊炎行急诊腹腔镜胆囊切除术的处理技巧。
方法选取32例急性胆囊炎患者随机分为对照组和观察组，各16例，对照组患者采用常规开腹手术治疗，观察组患者采用腹腔镜手术治疗，分析并比较2组患者的治疗效果。
结果观察组的治疗总有效率为93.75%, 显著高于对照组的62.50%(P < 0.05); 观察组的术中出血量、手术时间、住院时间均显著优于对照组(P < 0.05)。
结论采用急诊腹腔镜胆囊切除术治疗急性胆囊炎患者的有效性和安全性均比较高。急性胆囊炎患者实施急诊腹腔镜胆囊切除术时，必须合理选择手术治疗时机，且手术操作人员必须掌握急诊腹腔镜胆囊切除术的操作技巧。

Abstract:
Objective To explore management skills for emergency laparoscopic cholecystectomy in treating acute cholecystitis.
Methods A total of 32 patients with acute cholecystitis admitted to our hospital were randomly divided into control group and observation group, with 16 cases in each group. The patients in control group were given routine laparotomy, and those in observation group were given laparoscopic surgery. The therapeutic effects of the two groups were compared and analyzed.
Results Compared with the control group, the total effective rate in the observation group was higher than that in the control group (93.75% vs. 62.50%, P < 0.05). The bleeding volume, operation time and hospitalization time in the observation group were better than those in the control group (P < 0.05).
Conclusion Emergency laparoscopic cholecystectomy has higher safety and efficacy. And the timing of operation must be reasonably selected for the patients with acute cholecystitis who underwent the surgery, and the operators must master the operation skills of emergency laparoscopic cholecystectomy.

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