腹腔镜胆囊切除术治疗伴胆囊颈部结石嵌顿的急性胆囊炎的临床观察  

Clinical Observation of Laparoscopic Cholecystectomy for Acute Cholecystitis with Gallstone Neck Stones

作　　者：尹斌 YIN Bin(The Eighth People＇s Hospital of Taiyuan, Taiyuan, Shanxi, 030012)

机构地区：[1]太原市第八人民医院,山西太原030012

出　　处：《智慧健康》2018年第1期105-106,共2页Smart Healthcare

摘　　要：目的探析急性胆囊炎并发胆囊颈部结石嵌顿患者用腹腔镜胆囊切除术治疗具体操作及安全性。方法有30例分析对象,为本院2012年至2017年收治确诊并发胆囊颈部结石嵌顿的急性胆囊炎患者,均接受腹腔镜胆囊切除术治疗,回顾性分析后归纳该手术方式的应用价值。结果所有患者均在手术过程确诊胆囊颈部结石嵌顿,有29例顺利完成手术,1例中转开腹。围术期无发生胆管受损、胆漏、胆总管结石或出血等并发症;患者术后接受随访,期间无出现手术相关并发症。结论对并发颈部结石嵌顿急性胆囊炎患者用腹腔镜胆囊切除术治疗具有高效、安全的优点,确保患者术后顺利康复以及生活质量不受影响。Objective To investigate the specific operation and safety of laparoscopic cholecystectomy in patients with acute cholecystitis complicated with gallbladder neck incarcerated.Methods There are 30 cases as the analysis object,in our hospital from 2012 to 2017 were diagnosed with gallbladder calculi incarceration acute cholecystitis underwent laparoscopic cholecystectomy were retrospectively analyzed after induction therapy,the application value of the operation mode.Results All patients were diagnosed with gallbladder stone incarceration during the operation.29 cases were successfully operated,and 1 cases were converted to laparotomy.There were no complications such as bile duct damage,bile leakage,common bile duct stones or bleeding during the perioperative period.The patients were followed up without complications during the follow-up period.Conclusion It is effective and safe to treat laparoscopic cholecystectomy in patients with acute cholecystitis complicated with cervical calculi.It is necessary to ensure the smooth recovery of patients and the quality of life.

关 键 词：腹腔镜胆囊切除术 胆囊颈部结石嵌顿 急性胆囊炎 临床效果 

分 类 号：R657.4[医药卫生—外科学]