摘要
目的 探讨急性胆囊炎患者治疗方式及手术时机的选择。方法 将我院 1994年至 2 0 0 2年收治的急性胆囊炎患者 165例分为早期手术组 (earlycholecystectomy ,EC)与延期手术组 (delayedcholecystec tomy ,DC) ,分析两组手术治疗结果及并发症。结果 两组住院时间、手术时间及切口感染率差异显著 ,EC组住院时间明显缩短 (P <0 .0 5 ) ,其他指标差异无显著性。结论 急性胆囊炎症状及体征明显 ,伴胆囊肿大、积液、胆囊管阻塞及结石嵌顿 ;或经保守治疗后临床表现无改善或加重者 。
Objective To investigate the way of treatment and the timing of operation for patients with acute cholecystitis.Methods 165 patients with acute cholecystitis hospitalized in our hospital from 1994 to 2002 were divided into two groups, early cholecystectomy group (EC) and delayed cholecystectomy group (DC).The data including way of operation,timing of operation and complications were retrospectively analyzed.Results Hospitalized duration in EC group was significantly shorter than that in DC group (P<0.05),and operative time in DC group was obviously longer than that in EC group.There were no significant differences in the other parameters between two groups.Conclusion Early colecystectomy should be firstly chosen in the patients with obvious clinical symptoms and signs of acute cholecystitis,and the patients complicated by gallbladder enlargement,empyema of gallbladder,obstruction of cystic duct and choleccystolithiasis,as well as the patients whose clinical symptoms couldn’t be improved after conservative treatment.
出处
《河北医药》
CAS
2004年第8期635-636,共2页
Hebei Medical Journal
