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中华普外科手术学杂志(电子版) ›› 2019, Vol. 13 ›› Issue (03) : 311 -313. doi: 10.3877/cma.j.issn.1674-3946.2019.03.030

所属专题: 文献

论著

腹腔镜手术治疗急性胆囊炎的疗效研究
周高云1,(), 林龙1, 甘连州1, 林进维1, 吴雷2   
  1. 1. 570203 海口,海南省中医院 普外科
    2. 570311 海口,海南医学院第二附属医院肝胆胰外科
  • 收稿日期:2018-07-02 出版日期:2019-06-26
  • 通信作者: 周高云

Laparoscopic cholecystectomy for acute cholecystitis

Gaoyun Zhou1,(), Long Lin1, Lianzhou Gan1, Jinwei Lin1, Lei Wu2   

  1. 1. Traditional Chinese Medicine hospital ofHainan province; Hainan 570203, China
    2. Department of Hepatopancreatobiliary Surgery, The Second Affiliated Hospitalof Hainan Medical University Hainan 570311, China
  • Received:2018-07-02 Published:2019-06-26
  • Corresponding author: Gaoyun Zhou
  • About author:
    Corresponding author: Zhou Gaoyun, Email:
引用本文:

周高云, 林龙, 甘连州, 林进维, 吴雷. 腹腔镜手术治疗急性胆囊炎的疗效研究[J/OL]. 中华普外科手术学杂志(电子版), 2019, 13(03): 311-313.

Gaoyun Zhou, Long Lin, Lianzhou Gan, Jinwei Lin, Lei Wu. Laparoscopic cholecystectomy for acute cholecystitis[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(03): 311-313.

目的

对比腹腔镜手术和开腹手术在急性胆囊炎患者中的疗效及对炎症因子、血清淀粉酶水平的影响。

方法

选取2015年12月至2017年7月收治的急性胆囊炎患者86例,按照数字表法随机分为两组,开腹组和腹腔镜组,各43例。数据采用SPSS18.0进行分析,临床疗效和术后并发症采取卡方检验;血清淀粉酶及炎症因子应用(±s)检验,独立t检验,P<0.05差异有统计学意义。

结果

腹腔镜组患者的临床有效率95.3%优于开腹组81.4%(P<0.05);腹腔镜组的手术中出血量、手术时长、排气时长、下床活动时长、住院天数及术后并发症均低于开腹组(P<0.05);治疗后两组患者的血清淀粉酶及炎症因子均发生不同程度升高,但腹腔镜组各项指标水平显著低于开腹组(P<0.05)。

结论

急性胆囊炎患者使用腹腔镜手术的临床疗效更显著,患者创口小,术后恢复时间更短、并发症更少,值得应用及进一步推广。

Objective

To compare the perioperative inflammatory factors and serum amylase levelsin laparoscopic surgery and laparotomy for acute cholecystitis.

Methods

From December 2015 to July 2017, 86 patients with acute cholecystitis were enrolled and randomly divided into two groups, including 43 cases in open group and 43 cases in laparoscopic group. Clinical data were analyzed by using SPSS18.0 software. Clinical efficacy and postoperative complications were examined by using chi-square test. Serum amylase and inflammatory factors were expressed as (±s) and examined by using independent t test. A valueof P < 0.05 was considered as statistically significant difference.

Results

Clinical efficacy of 95.3% in laparoscopic group was significantly higher than 81.4% in open group (P <0.05). Compared with open group, there were less blood loss, shorter operation duration, exhaust duration, time of ambulation and hospital stay as well as less postoperative complications in the laparoscopic group (P<0.05). After surgery, serum amylase and inflammatory factors wereincreased at different levelin both groups, however much lower indicators were observed in the laparoscopic group than in open group (P<0.05).

Conclusion

For patients with acute cholecystitis, laparoscopicsurgery is recommended, with advantages such as minimal invasion, shorter recovery time and less complications. It is worthy of wider application and further popularization.

表1 86例急性胆囊炎患者不同术式两组患者的临床疗效[例(%)]
表2 86例急性胆囊炎患者不同术式两组患者的手术情况(±s)
表3 86例急性胆囊炎患者不同术式两组患者不良反应发生情况[例(%)]
表4 86例急性胆囊炎患者不同术式两组患者血清淀粉酶及炎症因子变化(±s)
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