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目的:分析探讨腹腔镜胆囊切除术治疗急性化脓性坏疽性胆囊炎的可行性。方法:选取2010年6月-2011年12月期间于我院治疗的急性化脓性坏疽性胆囊炎患者70例,以随机法分为实验组和对照组各35例。对照组患者进行传统手术治疗,实验组患者进行经腹腔镜胆囊切除术治疗,对两组患者手术成功率以及手术时间等进行比较。结果:实验组手术成功率为91.4%,手术时间大约为44~170 min,对照组手术成功率为80.0%,手术时间大约50~180 min,所有患者均无严重并发症或死亡。两组患者手术成功率差异具有统计学意义(P<0.05),手术所需时间差异不具有统计学意义(P>0.05)。结论:腹腔镜胆囊切除术治疗急性化脓性坏疽性胆囊炎可以明显提高手术成功率,值得在临床上广泛推广。
Objective: To analyze the feasibility of laparoscopic cholecystectomy in the treatment of acute suppurative gangrenous cholecystitis. Methods: Seventy patients with acute suppurative gangrenous cholecystitis treated in our hospital from June 2010 to December 2011 were randomly divided into experimental group and control group of 35 cases. The patients in the control group were treated by conventional surgery. The patients in the experimental group were treated by laparoscopic cholecystectomy. The success rate of operation and the operation time were compared between the two groups. Results: The success rate of operation in experimental group was 91.4%, operation time was about 44-170 minutes, control group was 80.0% and operation time was about 50-180 minutes. No serious complication or death occurred in all patients. There was significant difference in the success rate of operation between the two groups (P <0.05). The time difference between the two groups was not statistically significant (P> 0.05). Conclusion: Laparoscopic cholecystectomy in the treatment of acute suppurative gangrenous cholecystitis can significantly improve the success rate of surgery, it is worth widely disseminated in the clinic.