腹腔镜胆囊切除术治疗急性胆囊炎的手术时机选择及疗效分析  

Surgical timing and curative effect of acute cholecystitis patients with laparoscopic cholecystectomy

作　　者：盛涛[1,2] 李敬东[1,2] 赵国刚[1,2] 

机构地区：[1]川北医学院肝胆胰胃肠研究所 [2]川北医学院附属医院普外三科,四川南充637000

出　　处：《西部医学》2014年第12期1610-1612,共3页Medical Journal of West China

基　　金：四川省教育厅课题(09ZC046)

摘　　要：目的 探讨急性胆囊炎（Acute cholecystitis,AC）行腹腔镜胆囊切除术（Laparoscopic cholecystectomy,LC）治疗的手术时机,并分析其疗效,为临床治疗AC提供最佳方案.方法 选择2012年7月～2013年7月在我院接受治疗的AC患者116例作为研究对象,根据患者接受手术的先后顺序进行分组,其中≤72h组58例,＞72h组58例,统计并对比两组患者的手术情况以及术后情况.结果 ≤72h组的手术用时、术后疼痛时长、肛门排气时长及住院时长均显著少于＞72h组,差异均有统计学意义（均P＜0.05）;≤72h组的术后备类并发症总发生率为13.79％（8/58例）,显著少于＞72h组的34.48％（20/58例）,差异有统计学意义（P＞0.05）.结论 对AC患者尽早实施LC手术可获得更好的预后疗效,临床上以≤72h实施LC手术为最佳手术时机,值得关注.Objective To study surgical timing and curative effect of acute cholecystitis （AC） patients with laparoscopic cholecystectomy （LC） and provide the best solution for clinical treatment of AC. Methods 116 patients with AC were divided into 472 h group and ≤72 h group according to the order of patients undergoing surgery. The patients＇ condition and operation situation were observed. Results 472 h group＇s operation time, postoperative pain time, anus exhaust time and hospitalization time were significantly less than ≤72 h group. The differences were statistically significant （all P〈0.05）. ≤72 h group＇s total postoperative complications incidence rate was 13.79 % （8/58）, which was significantly less than 〉72 h group 34. 48% （20/58） （P〉0. 05）. Conclusion Early implementation LC surgery in patients with AC can gain better curative effect, prognosis clinical ≤72 h LC is better optimal timing of surgery.

关 键 词：急性胆囊炎 腹腔镜胆囊切除术 手术时机 疗效 

分 类 号：R657.41[医药卫生—外科学]