腹腔镜胆囊切除术治疗急、慢性胆囊炎及胆囊息肉样变的临床疗效分析  

作　　者：吴君正 李谦[1] 梁海飞[1] 苗雅莉[1] 

机构地区：[1]广东省清远市人民医院肝胆外科,511500

出　　处：《中国医疗前沿》2010年第21期32-33,共2页China Healthcare Innovation

摘　　要：目的探讨腹腔镜胆囊切除术(Laparoscopic cholecystectomy,LC)治疗急、慢性胆囊炎及胆囊息肉样变的临床疗效和安全性。方法对2005年1月～2008年12月期间760例LC的临床资料进行回顾性分析。比较三者手术时间、手术出血量、术后住院时间、总住院时间、中转开腹率、术后并发症及随访。结果急性胆囊炎、慢性胆囊炎及胆囊息肉样变三者的术后住院时间、中转开腹、术后并发症及随访比较差异无统计学意义(P>0.05);慢性胆囊炎及胆囊息肉样变的手术时间、手术出血量小于急性胆囊炎(P<0.01),但慢性胆囊炎和胆囊息肉样变的手术时间、手术出血量比较差异无统计学意义(P>0.05);急性胆囊炎及胆囊息肉样变总住院天数明显小于慢性胆囊炎(P<0.01),而急性胆囊炎、胆囊息肉样变之间的总住院天数比较差异无统计学意义(P>0.05)。结论 LC治疗急、慢性胆囊炎及胆囊息肉样变是有效、安全的。Objective To explore the clinical therapeutic effect and reliability of the treatment by LC on acute cholecystitis, chronic cholecystitis and polypoid lesions of gallbladder. Methods 760 cases of acute cholecystitis, chronic cholecystitis and polypoid lesions of gallbladder from January 2005 to December 2008 were analyzed retrospectively, and operative time, surgical bleeding, postoperative hospital stay, total hospital stay, conversion rate, postoperative complications and follow-up were compared. Results There was no statistically significant difference in postoperative hospital stay, conversion rate, postoperative complications and follow-up among three groups（P0.05）. Operative time in chronic cholecystitis and polypoid lesions of gallbladder was shorter than that in acute cholecystitis（P0.01）, but there was no statistically significant difference between chronic cholecystitis and polypoid lesions of gallbladder（P0.05）. Total hospital stay in acute cholecystitis and polypoid lesions of gallbladder was shorter than that in chronic cholecystitis（P0.01）, but there was no statistically significant difference between acute cholecystitis and polypoid lesions of gallbladder（P0.05）. Conclusion It is effective and safe to treat by LC on acute, chronic cholecystitis and polypoid lesions of gallbladder.

关 键 词：腹腔镜胆囊切除术 胆囊炎 胆囊息肉样变 

分 类 号：R657.4[医药卫生—外科学]