摘要
目的 通过比较轻症胆源性胰腺炎患者经不同时间行腹腔镜胆囊切除术治疗后的临床表现,观察早期行LC对轻症急性胆源性胰腺炎患者的疗效影响。方法 选取65例轻症急性胆源性胰腺炎患者,根据其不同手术时间,将其分成实验组和对照组。实验组为早期手术组（72 h内）共29例,对照组为延期手术组（炎症控制后2~3个月,无胆囊炎或胰腺炎的发作）共36例,比较观察这2组患者手术所需时间、术后并发症（主要包含肺部感染、应激性溃疡、呼吸窘迫综合征）、术后肛门排气时间、总住院时间、总住院费用及术后病情复发情况。结果 实验组患者早期行LC在手术所需时间、术后并发症、术后肛门排气时间及术后病情复发情况与对照组差异无统计学意义,在总住院时间和总住院费用方面差异有统计学意义（P〈0.05）。结论 轻症急性胆源性胰腺炎早期（72 h内）行LC是安全可行的,可以有效降低住院费用,缩短住院时间,并减小患者在等待手术过程中所带来的胰腺炎复发隐患。
Objective To observe effects of early-line LC for mild acute gallstone pancreatitis patients, researchers compare the patients＇ clinical manifestations of laparoscopic cholecystectomy therapy at different times with mild gallstone pancreatitis. Methods According to different surgical time, researchers divided 65 patients with mild acute gallstone pancreatitis in general surgery department, divide into experimental group and control group. The experimental group is an early surgery group （72 h） with a total of 29 cases, and the control group is a delayed surgery group （control inflammation after 2 to 3 months, without cholecystitis or pancreatitis episodes） with 36 cases. Then observers compare two groups of patients required operative time, postoperative complications （mainly comprising lung infection, stress ulcer, respiratory distress syndrome）, anal exhaust time, the total length of stay, total hospital costs and postoperative relapse cases. Results LC experimental patients with early surgical time, complications, and postoperative anal exhaust time required for disease recurrence are no obvious differences with the control group; however, there are large differences in the total length of stay and total hospital costs （P〈0.05）. Conclusion Mild early acute biliary pancreatitis （72 h within） line LC is safe and feasible, which is able to reduce hospital costs, short the length of hospital stay, and reduce patients recurrent pancreatitis risk when waiting for surgery.
出处
《当代医学》
2016年第20期3-5,共3页
Contemporary Medicine
