张 明,张 奇

目的：分析早期腹腔镜胆囊切除术（LC）治疗重症急性胆囊炎（SAC）的临床效果。方法：筛选我院在2024年2月-2025年2月收治的88例SAC患者，全部接受LC治疗，并根据手术时机的不同去分为两组，其中对照组为72h后治疗，而研究组72h内治疗。结果：研究组手术指标更好（P＜0.05）；研究组并发症及中转开腹率更低（P＜0.05）；研究组炎性因子更符合正常值（P＜0.05）。结论：早期LC治疗SAC的效果更好，能够有效缩短手术、术后下床、及排气时间，控制并发症及中转剖腹出现，调节炎性指标，从而使其尽快康复，应该推广。

早期时机；延期时机；腹腔镜胆囊切除术；重症急性胆囊炎；安全性；有效性

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