摘要
目的探讨采用腹腔镜胆囊切除术治疗不同时段急性胆囊炎的手术时机以及临床疗效。方法选择于2012年1月—2014年12月该院收治的138例急性胆囊炎患者为研究对象,根据发病至手术时间将其分为早期急性胆囊炎组以及延迟性急性胆囊炎组,早期急性胆囊炎组患者共76例,延迟性急性胆囊炎组患者共62例。观察临床治疗效果。结果早期急性胆囊炎组患者的手术时间以及术中出血量分别为(71.4±2.1)min、(82.1±8.3)m L,明显低于延迟性急性胆囊炎组患者[(121.2±9.7)min、(149.6±9.8)m L],差异具有统计学意义(P<0.05)。结论腹腔镜胆囊切除术治疗早期急性胆囊炎疾病的效果要明显高于治疗延迟性急性胆囊炎疾病,急性胆囊炎治疗的有效途径是进行早期诊断以及及早治疗。
Objective To discuss the operation opportunity and clinical curative effect of laparoscopic cholecystectomy in treatment of acute cholecystitis at different time periods. Methods 138 cases of patients with acute cholecystitis treated in our hospital from January 2012 to December 2014 were selected as the research object and divided into the early acute cholecystitis with 76 cases and delayed acute cholecystitis with 62 cases, the clinical treatment effects of the two groups were observed. Results The operation time and intraoperative blood loss in the early acute cholecystitis were obviously lower than those in the delayed acute cholecystitis,（71.4±2.1min、82.1±8.3ml vs 121.2±9.7min、149.6±9.8ml）and the differences were statistically significant（P〈0.05）. Conclusion The effect of laparoscopic cholecystectomy in treatment of early acute cholecystitis is higher than laparoscopic cholecystectomy in treatment of delayed acute cholecystitis, early diagnosis and early treatment are the effective approaches to treat acute cholecystitis.
出处
《中外医疗》
2016年第3期73-74,共2页
China & Foreign Medical Treatment
