摘要
目的探讨急性坏疽性胆囊炎的临床特点和手术技巧。方法对2001-2008年外科收治的52例急性坏疽性胆囊炎患者临床特点和外科诊治资料进行回顾性分析。结果结合临床表现,白细胞总数明显升高(≥15×109/L)及B超检查显示胆囊呈双边影即可明确诊断并立即手术治疗。本组52例均行手术治疗,治愈49例,好转3例,疗效满意。结论急性坏疽性胆囊炎多由急性胆囊炎发展而来,血白细胞总数升高程度结合B超检查有助于早期诊断,完善的术前准备,合理的手术方法是提高治愈率降低死亡率的关键。
Objective To investigate the clinical characteristics and the operation technique of acute gangrenous cholecystitis. Methods Retrospective cohort study was used to analyze the clinical data of 52 patients with acute gangrenous cholecysfitis in 2001 - 2008. Results It was necessary to have an operation immediately after the conclusive diagnosis of acute gangrenous cholecystitis with the sig- nificant increased WBC and double edge shadow of gallbladder. All 52 patients received the surgery, of which,49 patients were cured and 3 were improved. Conclusion Acute gangrenous cholecystitis is mainly developed from the acute choiecystitis. And the curative effect is satisfied. The increased level of WBC combined with the B-mode ultrasonography is very helpful to make an early diagnosis. The complete preoperative preparation and the reasonable operation method are the key points to improve the curative rate.
出处
《山西医科大学学报》
CAS
2010年第3期262-264,共3页
Journal of Shanxi Medical University
关键词
胆囊炎
坏疽
外科手术
eholecystitis
gangrene
surgery
