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目的:探究腹腔镜胆囊切除术治疗急性发作期结石性胆囊炎的临床疗效及手术安全性。方法:选择2014年3月至2016年1月高新区人民医院收治的181例急性发作期结石性胆囊炎患者为研究对象,按照治疗方式差异性将其分为对照组和观察组,对照组应用保守治疗,观察组应用腹腔镜胆囊切除术进行治疗,对临床效果进行分析。结果:对照组的治疗总有效率为86.67%,观察组的治疗总有效率为100%,观察组的治疗效果明显优于对照组,比较结果差异显著,具有统计学意义(P<0.05)。观察组的术后并发症率为14.28%,对照组的术后并发症率11.11%,观察组的术后并发症率与对照组的术后并发症率无明显差异,不具有统计学意义(P>0.05)。结论:对急性发作期结石性胆囊炎患者应用腹腔镜胆囊切除术进行治疗,其疗效显著,术后并发症率与保守治疗无明显差别,手术安全可靠。
Objective: To investigate the clinical efficacy and safety of laparoscopic cholecystectomy in the treatment of acute cholecystolithiasis. Methods: From March 2014 to January 2016, 181 patients with acute cholecystitis of cholecystitis who were treated in High-tech Zone People’s Hospital were selected as the research object. According to the differences of treatment methods, they were divided into control group and observation group. The control group Conservative treatment, observation group laparoscopic cholecystectomy for treatment, the clinical effect analysis. Results: The total effective rate of the control group was 86.67%. The total effective rate of the observation group was 100%. The therapeutic effect of the observation group was obviously better than that of the control group. The difference was significant and statistically significant (P <0.05). The postoperative complication rate was 14.28% in the observation group and 11.11% in the control group. There was no significant difference in the postoperative complication rate between the observation group and the control group P> 0.05). Conclusion: Laparoscopic cholecystectomy in patients with acute cholecystitis in acute attack has significant curative effect. There is no significant difference between postoperative complication rate and conservative treatment, and the operation is safe and reliable.