摘要
目的回顾性分析腹腔镜胆囊切除术及胆囊切除术治疗急性胆源性胰腺炎的临床疗效及手术时机探讨。方法回顾性分析2012年1月～2014年8月间安徽医科大学第一附属医院急诊外科收治的胆囊结石并发急性胰腺炎患者41例作为研究对象，其中37例应用腹腔镜胆囊切除术，4例应用胆囊切除术对其进行治疗并作为对照组，观察两组治疗效果、切口愈合情况、手术时间、总住院时间及术后至出院时间。结果肛门排气时间、术后至出院时间、术后切口感染发生率、术后镇痛药物使用率均少于对照组，两组比较差异有统计学意义（P〈0．05），而总住院时间、手术时间无统计学差异（P〉0．05）。手术均在住院期间一次完成。结论胆囊结石并发急性轻型非梗阻性胆源性胰腺炎病例，先行积极保守治疗，待胰腺炎缓解后，一次住院期间进行手术，是安全、可行的手术时机。应用腹腔镜胆囊切除术治疗急性胆源性胰腺炎的临床疗效显著，较胆囊切除术更具有微创、恢复快等优点。
Objective Retrospective analysis of clinical curative effect of laparoscopic cholecystectomy and cholecystectomy in the treatment of acute biliary pancreatitis and discuss the operation timing. Methods 37 patients in The Emergency Surgery Department of The First Affiliated Hospital Of Anhui Medical University from January 2012 to August 2014, which were treated with laparoscopic cholecystectomy,were treated as the observation group, while 4 patients which were treated with open surgery were treated as the control group. The curative effect, incision healing, operation time, hospitalization time and postoperative to discharge time were ob- served. Results The anal exhaust time, postoperative to discharge time, postoperative incision infection rate, postoperative analgesia drug utilization rate, were lower than the control group, there was significant difference between two groups （ P 〈 0. 05 ）. However, there was no significant difference between two groups for the operation duration time and the hospitalization time （ P 〈 0. 05 ）. Conclusion Cases of cholecystolithiasis associated with acute mild non obstructive biliary pancreatitis should be treated with actively conservative treatment, and operation should do after pancreatitis symptom alleviated during hospitalization, which is safe and feasible. The clinical efficacy of laparoscopic cholecystectomy in the treatment of acute gallstone pancreatitis was significant, with minimally invasive, high cure rate, shorter hospital stay. Thus it is a safe and effective treatment method, worthy of clinical application.
出处
《肝胆外科杂志》
2015年第3期176-178,共3页
Journal of Hepatobiliary Surgery
