胆囊结石并发胆源性胰腺炎行腹腔镜胆囊切除术手术时机的探讨  

Laparoscopic Cholecystectomy Operation Timing of Cholecystolithiasis Complicated with Biliary Pancreatitis

作　　者：高世平[1] 李左军 张琳[3] 高春香[4] 

机构地区：[1]内蒙古自治区包头市第四医院外二科,内蒙古包头014030 [2]内蒙古自治区包头市肿瘤医院消化内科,内蒙古包头014030 [3]内蒙古自治区包头市肿瘤医院麻醉手术科,内蒙古包头014030 [4]内蒙古自治区包头市第四医院护理部,内蒙古包头014030

出　　处：《中国医药指南》2014年第17期32-33,共2页Guide of China Medicine

摘　　要：目的探析腹腔镜胆囊切除术(LC)治疗胆囊结石并发胆源性胰腺炎(ABP)的手术时机的临床研究。方法对我院2012年10月至2013年8月胆囊结石并发ABP患者80例,急性胰腺炎轻症(MAP)和重症(SAP)各40例,所有病例均行LC术,A组MAP患者在发病1周内进行LC术,B组在发病1周后行LC术,C组SAP患者在发病3周内行LC术,D组在发病3周后行LC术;比较SAP、MAP各组患者住院费用、时间、术后并发及死亡等情况。结果 MAP患者中,A组的住院费用及住院时间显著低于B组(P<0.05),其他术后并发及死亡情况两组无显著性差异(P>0.05);SAP患者中,D组各项参数指标均显著优于C组(P<0.05)。结论腹腔镜胆囊切除术在治疗胆囊结石并发ABP时,MAP患者在发病后1周内进行手术可靠安全,SAP在发病3周后行LC术可靠安全。ObjectiveAnalysis of laparoscopic cholecystectomy（LC）in treatment of cholecystolithiasis complicated with acute biliary pancreatitis（ABP） in clinical research on operation time.MethodsIn our hospital from 2012 October -2013 year in August of cholecystolithiasis complicated with ABP in 80 patients with acute pancreatitis,mild（MAP）and severe（SAP）of the 40 case,all cases under went LC operation, group A MAP were LC in the incidence of 1 weeks, B group 1 week after operation in the pathogenesis of LC, C group SAP patients in the onset of LC patients within 3 week, in group D, the incidence of 3 week after LC operation; comparison of SAP, MAP groups hospitalization cost, time, postoperative complications and death and so.ResultsIn MAP patients, hospitalization expenses andhospitalization time in A group was signiifcantly lower than that in B group（P＆lt;0.05）, with other postoperative and death of two groups had no signiifcant difference （P＆gt;0.05）; patients in SAP group, the D parameters were signiifcantly better than those in C group（P＆lt;0.05）. ConclusionLaparoscopic cholecystectomy in the treatment of cholecystolithiasis complicated with ABP, MAP were safe and reliable in operation 1 weeks after onset, SAP in the pathogenesis of LC is reliable and safe operation after 3 weeks.

关 键 词：腹腔镜胆囊切除术 胆源性胰腺炎 手术时机 

分 类 号：R575.62[医药卫生—消化系统]