腹腔镜胆囊切除术治疗胆囊颈管嵌顿结石性急性胆囊炎的临床效果  

Clinical effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis cased by incarcerated gallstones in the neck of the gallbladder

作　　者：张小松[1] 

机构地区：[1]南通大学附属通州区人民医院外科,江苏省南通市226000

出　　处：《临床合理用药杂志》2017年第24期144-145,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的探讨腹腔镜胆囊切除术(LC)治疗胆囊颈管嵌顿结石性急性胆囊炎的临床效果。方法选取南通大学附属通州区人民医院2013年3月—2015年6月收治的胆囊颈部结石嵌顿性急性胆囊炎患者48例,随机分为对照组(n=25)和观察组(n=23)。对照组患者采用传统开腹手术治疗,观察组患者采用LC治疗。随访6~12个月,比较两组患者手术时间、禁食时间、排气时间、排便时间及住院时间,并观察患者并发症发生情况。结果观察组患者手术时间、禁食时间、排气时间、排便时间及住院时间短于对照组(P<0.05)。观察组患者并发症发生率低于对照组(P<0.01)。结论采用LC治疗胆囊颈结石嵌顿性胆囊炎具有明确的临床效果和安全性。Objective To investigate the clinical effect of laparoscopic cholecystectomy（ LC） in the treatment of incarcerated gallstones in the neck of the gallbladder cased acute cholecystitis. Methods A total of 48 cases of acute cholecystitis cased by incarcerated gallstones in the neck of the gallbladder patients were selected from March 2013 to June 2015 in Tongzhou District People＇s Hospital of Nantong City,which were randomly divided into control group（ n = 25） and observation group（ n= 23）. Control group was given traditional open surgery,observation group was given LC. Followed-up 6-12 months,the operation time,fasting time,evacuation time,defecating time and hospitalization time were compared between the two groups,and the complications were observed. Results The observation group of operation time,fasting time,evacuation time,defecating time and hospitalization time were shorter than control group（ P〈0. 05）. The complications rate of observation group was lower than control group（ P〈0. 01）. Conclusion LC has an obviously clinical effect in the treatment of incarcerated gallstones in the neck of the gallbladder cased acute cholecystitis,and with higher safety.

关 键 词：胆囊炎 急性 胆囊颈管嵌顿结石 胆囊切除术 腹腔镜 

分 类 号：R657.4[医药卫生—外科学]