腹腔镜胆囊切除术治疗急性胆囊炎并发胆结石的安全性及预后评估  

Safety and prognosis evaluation of laparoscopic cholecystectomy for treating acute cholecystitis complicating gallstones

作　　者：皮儒先[1] 龙玉屏 樊惠菱 陈平[1] 

机构地区：[1]第三军医大学第三附属医院,重庆400042 [2]重庆市中医院,400011

出　　处：《重庆医学》2018年第2期198-199,202,共3页Chongqing medicine

摘　　要：目的观察腹腔镜下行胆囊切除术治疗急性胆囊炎并发胆结石的临床安全性及预后效果。方法回顾性分析2013年12月至2016年10月治疗的70例腹腔镜下行胆囊切除术的急性胆囊炎并发胆结石患者,分试验组和对照组,试验组患者接受腹腔镜手术治疗,对照组患者接受临床开腹手术治疗,比较两组后手术治疗效果、术后恢复情况及并发症发生率。结果试验组手术时间、术中出血量、住院时间明显优于对照组(P<0.05);试验组排气时间、疼痛持续时间、引流管留置时间明显低于对照组(P<0.05),试验组术后并发症发生率明显低于对照组(P<0.05)。结论治疗急性胆囊炎并发胆结石的患者采取腹腔镜下行胆囊切除术的手术策略有较好的临床价值。Objective To observe the clinicaI safety and prognosis effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis complicating gallstones. Methods Seventy cases of acute cholecystitis complicating gallstones treated by laparoseopic choleeysteetomy in the hospital from December 2013 to October 2016 were retrospectively analyzed,and randomly divided into experimental group and control group. The patients in the control group received clinical open surgery, while the experimental group received laparoscopic surgical treatment. The operative effect, postoperative recovery and complication occurrence rate were observed in the two groups. Results The operation time,intraoperative bleeding volume and hospitalization time in the experimental group were significantly better than those in the control group（P〈0.05） ;the exhaust time,pain duration,drainage time in the experimental group were significantly lower than those in the control group（P〈0.05） ,and the incidence rate of postoperative complications in the experimental group was significantly lower than that in the control group（P〈0.05）. Conclusion The operative strategy by adopting laparoscopic cholecystectomy for treating acute cholecystitis complicating gallstones has good clinical value.

关 键 词：胆囊切除术 腹腔镜 胆囊炎 急性 胆结石 

分 类 号：R657.4[医药卫生—外科学]