To explore the clinical effect of laparoscopic cholecystectomy in acute calculous cholecystitis
探究腹腔镜胆囊切除治疗急性结石性胆囊炎临床效果

摘要

目的 分析急性结石性胆囊炎用腹腔镜胆囊切除术所起到的作用。方法 随机均分2024年1月-2025年1月本院接诊急性结石性胆囊炎病人（n=74）。试验组采取腹腔镜切除术，对照组采取开腹手术。对比住院时间等指标。结果 关于并发症数据：试验组2.7%，对照组21.62%，P＜0.05。术中失血量、手术耗时和住院时间及胃肠功能恢复时间：试验组（55.17±6.37）ml、（45.09±4.52）min、（5.43±0.97）d、（10.18±2.47）h，对照组（88.45±10.25）ml、（65.93±5.17）min、（6.92±1.04）d、（25.97±4.68）h，P＜0.05。sf-36评分：治疗后，试验组高达（90.19±3.51）分，对照组只有（85.03±4.72）分，差异显著（P＜0.05）。术后VAS评分：试验组低于对照组（P＜0.05）。结论 急性结石性胆囊炎病人用腹腔镜胆囊切除术，临床指标更好，并发症更少，术后疼痛感与生活质量改善也更加显著。

Abstract

Objective To analyze the role of laparoscopic cholecystectomy in patients with acute calculous cholecystitis.
Methods A total of 74 patients with acute calculous cholecystitis admitted to our hospital from January 2024 to January 2025 were randomly divided into two groups. The experimental group underwent laparoscopic cholecystectomy, while the control group underwent open surgery. Indicators such as hospital stay were compared.
Results Regarding complication data: 2.7% in the experimental group vs. 21.62% in the control group, P<0.05. Intraoperative blood loss, surgical time, hospital stay, and gastrointestinal function recovery time: Experimental group (55.17±6.37) ml, (45.09±4.52) min, (5.43±0.97) d, (10.18±2.47) h; Control group (88.45±10.25) ml, (65.93±5.17) min, (6.92±1.04) d, (25.97±4.68) h, P<0.05. sf-36 score: After treatment, the experimental group scored as high as (90.19±3.51) points, while the control group scored only (85.03±4.72) points, with a significant difference (P<0.05). Postoperative VAS score: The experimental group was lower than the control group (P<0.05).
Conclusion   Laparoscopic cholecystectomy for patients with acute calculous cholecystitis showed better clinical outcomes, fewer complications, and more significant improvements in postoperative pain and quality of life.