急性结石性梗阻性胆囊炎的胆囊切除  

Cholecystectomy for acute obstructivelly suppurative cholecystitis

作　　者：王炜[1] 刘猛[1] 沈浩元[1] 

机构地区：[1]广州医学院第一附属医院普通外科,510120

出　　处：《实用医学杂志》2011年第12期2197-2198,共2页The Journal of Practical Medicine

基　　金：广东省医学科研基金立项(编号:A2006282)

摘　　要：目的:探讨使用强生Ultracision scalpel system Gen04超声刀不分离胆囊床、不解剖胆囊三角的胆囊切除的临床经验和可行性。方法:回顾性分析我院2005-2009年期间27例急性梗阻性结石性胆囊炎患者使用超声刀一期切除胆囊的临床治疗经验。结果:所有患者均获手术成功,术后疼痛即明显缓解,1～3d后体温、白细胞逐渐恢复至正常。术后引流管放置3～7d,所有患者未发生感染、出血、胆漏等并发症;随访1～5年,脂肪泻、消化不良等消化道症状均在6个月后逐渐恢复,但未发现结石复发、胆道狭窄、胆囊切除术后综合征(PCS)发生。结论:伴有严重感染的急性梗阻性胆囊炎,使用超声刀不分离胆囊床、不解剖胆囊三角的胆囊切除是安全可靠的有效方法。Objective To explore the clinical value of Uhraeision scalpel system in eholecysteetomy without dissections of gallbladder bed and gallbladder triangel. Method A retrospective analysis was made based on 27 cases of acute obstructivelly suppurative cholecystitis underwent cholecystectomy with Uhracision scalpel system Gen04 in recent 5 years. The effects of the operations were assessed. Results All operations were completed successfully without infection, hemorrhea, bile leakage, biliary stricture,recurrent calculus and postcholecystectomy syndrome. Conclutions Ultracision scalpel system in cholecystectomy without dissections of gallbladder bed and gallbladder triangel is safe and feasible in acute obstructivelly suppurative cholecystitis.

关 键 词：胆囊炎 急性 胆囊切除 超声刀 

分 类 号：R657.4[医药卫生—外科学]