摘要
目的分析急性胆囊炎伴胆囊结石采取腹腔镜手术治疗的最佳时机以及中转开腹的潜在危险因素。方法选取我科2013年9月~2016年5月收治的急性胆囊炎伴胆囊结石患者,共66例。手术方式均为腹腔镜胆囊切除术。根据患者急性胆囊炎伴胆囊结石发病的时间分为3组,每组各22例。分析3组患者术后并发症发生率、中转开腹率及手术时间,同时分析中转开腹的相关危险因素。结果 3组患者的术后并发症发生率之间比较差异无统计学意义（χ~2=1.26,P〉0.05）;3组患者的的中转开腹率及手术时间比较差异均有统计学意义（P〈0.05）。白细胞数目以及手术时间与中转开腹相关联（P〈0.05）。结论腹腔镜胆囊切除术的治疗急性胆囊炎伴胆囊结石的手术最佳时机小于24 h,其中白细胞数目以及手术时间是患者中转开腹的危险因素。
Objective To analyzeing of laparoscopic cholecystectomy for acute calculous cholecystitis and influencing factors for conversion to open surgery. Methods A total of 66 patients with acute cholecystitis complicated with cholecystolithiasis in our department from September 2013 to May 2016 were enrolled. The surgery was for laparoscopic cholecystectomy. Results The 3 groups of patients the incidence of postoperative complications was not statistically significant between（χ~2=1.26, P〉 0.05）, there was significant difference between the 3 groups in the rate of conversion to laparotomy and operation time（P〈0.05）. The number of white blood cells and the time of surgery were associated with conversion to laparotomy（P〈0.05）. Conclusion The best time of laparoscopic cholecystectomy for acute cholecystitis with cholecystolithiasis is less than 24 h.
出处
《中国继续医学教育》
2016年第36期62-63,共2页
China Continuing Medical Education
关键词
急性胆囊炎伴胆囊结石
中转开腹
危险因素
Acute cholecystitis with cholecystolithiasis
Conversion to laparotomy
Risk factors
