摘要
目的比较胆囊结石伴急性胆囊炎患者不同时期手术的差别，为合理手术时机的选择提供依据。方法选择作者医院2008—06／2013—06月的胆囊结石伴急性胆囊炎患者共184例，均施行腹腔镜胆囊切除术（laparo-scopic cholecystectomy, LC），分为择期手术组和急诊手术组。择期手术组82例，药物治疗3～5d后，安排手术；急诊手术组102例，入院12h内急诊手术。比较两组患者手术时间、术中出血量、中转开腹率、并发症发生率、术后24h腹腔引流量、术后肛门恢复排气时间、住院天数、住院费用等临床资料。结果两组病例均未发生手术死亡。手术时间、术中出血量、中转开腹率、住院天数、住院费用急诊手术组与择期手术组比较，均显著优于择期手术组，差异具有统计学意义（P〈0．05）；两组病例并发症发生率、术后肛门恢复排气时间、术后24h腹腔引流量均无统计学意义（P〉0．05）。结论胆囊结石伴急性胆囊炎患者确诊后，如无明显手术禁忌症，及早行LC治疗。
Objective To Compare the difference of patients with acute cholecystitis undergoing gall bladder calculi surgery at different periods, and supply reference for the selection of reasonable operation timing. Methods A total of 184 patients with with acute cholecystitis with gall bladder calculi undergoing laparoscopic cholecystectomy （LC） in our hospital from June 2008 to June 2013 were studied. They were divided into elective surgery group （82 cases, undergoing operation 3-5 days after drug treatment） and emergency treatment group （102 cases, undergoing operation within 12 hours after admission）. The operation time, intraoperative blood loss, secondary laparotomy rate, incidence of complications, postoperative 24 h abdominal drainage amount, postoperative anal exsufflation time, hospitalization days, expenses and other clinical data were compare two groups of patients. Results There was no case died in surgery in two groups. The operation time, intraoperative blood loss, secondary laparotomy rate, hospitalization days and hospitalization expenses were significantly better in emergency treatment group than those in the elective surgery group. There was no difference between two groups in rates of complications, postoperative anal time and postoperative 24 h abdominal drainage amount. Conclusion Patients with acute cholecystitis with gall bladder calculi and no obvious surgery contraindications should accept early LC treatment, which has obvious advantages.
出处
《华南国防医学杂志》
CAS
2014年第3期218-220,共3页
Military Medical Journal of South China
关键词
腹腔镜胆囊切除手术
胆囊结石伴急性胆囊炎
手术时机
Laparoscopic gallbladder surgery
Gall bladder stones with acute cholccystitis
Operation time
