改良逆行性胆囊切除术治疗胆囊炎  

Modified Antidromic Cholecystectomy Treating Cholecystitis

作　　者：张晨阳[1] 

机构地区：[1]安阳市人民医院,河南安阳455000

出　　处：《河南职工医学院学报》2005年第2期88-89,共2页Journal of Henan Medical College For Staff and Workers

摘　　要：目的探讨减少胆囊炎胆囊切除术并发症的手术方法。方法实验组采用改良逆行性胆囊切除术;对照组采用顺行性胆囊切除术,并对两组术中出血量、手术时间、胆管损伤发生率进行比较。结果实验组术中出血量为(20.35±2.80)ml,对照组为(105.49±6.07)ml,两组比较有极显著差异;实验组手术时间为(40.05±3.18)min,对照组为(92.34±4.56)min,两组比较有显著差异;胆管损伤发生率两组比较无显著差异。结论改良逆行性胆囊切除术能有效减少术中出血量,简化手术过程,缩短手术时间,避免胆道损伤,是一种适用于胆囊炎的理想手术方法。Objective To study the methods of reducing the complication cholecystitis of cholecystectomy. Methods Experiment group was given modified antidromic cholecystectomy. The amount of bleeding,the time of operation and the incidence of biliary duct injury were compared. [WTHZ]Results The amount of bleeding in experiment group was 20.35±2.80 ml,and the control group was 105.49±6.07ml.Statistic analysis showed that there was outstanding difference between them.The operation time of experiment group was 40.05±3.18min,the control group was 92.34±4.56 min.There was significant difference between them.The incidence of biliary duct injury was not significantly different between them.[WTHZ]Conclusion The modified antidromic cholecystectomy can reduce the amount of bleeding,simplify the process of operation,shorten the operation time,avoid the side injury.It is an ideal method for treating cholecystitis.

关 键 词：改良逆行性胆囊切除术 胆囊炎 术中出血量 损伤发生率 治疗 手术时间 手术方法 实验组 对照组 术并发症 0.05 手术过程 胆道损伤 顺行性 胆管 

分 类 号：R657.410.5[医药卫生—外科学] R259.756.1[医药卫生—临床医学]