急性结石性胆囊炎患者早期腹腔镜胆囊切除术248例临床疗效分析  

Clinical Effects of Early Laparoscopic Cholecystectomy for Patients with Acute Calculous Cholecystitis

作　　者：张勇[1] 何涛[1] 王彦生[1] 

机构地区：[1]玉溪市人民医院普外二科,云南玉溪653100

出　　处：《昆明医科大学学报》2014年第11期148-149,154,共3页Journal of Kunming Medical University

摘　　要：目的探讨急性结石性胆囊炎患者早期(病程≤72 h)实施腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的临床疗效.方法选取玉溪市人民医院2011年5月至2014年5月收治的248例急性结石性胆囊炎且实施LC术患者的临床资料进行回顾性分析.结果 2组患者的术后并发症发生率差异无统计学意义(5.74%vs.9.84%,P=0.262);早期手术组患者的中转开腹率低于延期手术组(1.64%vs.11.11%,P=0.002);早期手术组患者在住院时间、术中出血量及手术时间上均优于延期手术组,差异均有统计学意义(P<0.05).结论急性结石性胆囊炎患者早期行LC具有住院时间短、中转开腹率低等优点,是安全、可行的.Objective To discuss the clinical effect of early laparoscopic cholecystectomy （LC） for patients with acute calculous cholecystitis. Methods 248 patients with acute calculous cholecystitis from May 2011 to May 2014 in People＇s Hospital of Yuxi City were selected. All patients were underwent laparoscopic cholecystectomy. Results There were no significant differences between the two groups in postoperative complication rates （5.74% vs. 9.84%, P = 0.262） . The laparotomy rate was lower in the patients who received early laparoscopic cholecystectomy than in the patients who received delayed laparoscopic cholecystectomy （1.64% vs. 11.11%, P = 0.002） . The hospital stay and the operation time were shorter in the patients who received early laparoscopic cholecystectomy than the patients who received delayed laparoscopic cholecystectomy. The intraoperative blood loss was 33.49 ml in the patients who received early laparoscopic cholecystectomy, which was significantly less than 52.58 ml in the patients who received delayed laparoscopic chalecystectomy, and there was statistically significant （P 〈0.001） Conclusion It is safe and feasible to carry out early laparoscopic cholecystectomy within 72 hours of hospital admission for patients with acute calculous cholecystitis, which has several advantages such as shorter hospital stay, shorter operation time. less intraoperative blood loss and lower laparotomy rate.

关 键 词：门腹腔镜 胆囊结石 胆囊切除术 急性胆囊炎 

分 类 号：R575.62[医药卫生—消化系统]