不同手术时机胆囊切除术对急性胆囊炎的临床疗效与安全性分析  

Clinical efficacy and safety analysis of cholecystectomy with different operative timing for acute cholecystitis

作　　者：秦威[1] QIN Wei(Department of General Surgery,Haimen Hospital of Traditional Chinese Medicine,Haimen 226100,China)

机构地区：[1]海门市中医院普外科,226100

出　　处：《中国实用医药》2018年第26期21-23,共3页China Practical Medicine

摘　　要：目的探讨不同手术时机胆囊切除术对急性胆囊炎的临床疗效与安全性。方法 65例急性胆囊炎患者,通过随机数字表法分为对照组(21例)、观察A组(22例)和观察B组(22例)。对照组在发病后先进行常规消炎并择期手术,观察A组于发病后48~72 h内实施手术,观察B组于发病后48 h内实施手术,比较三组患者治疗效果和并发症发生情况。结果观察B组术中出血量少于对照组和观察A组,差异具有统计学意义(P<0.05);观察A组术中出血量少于对照组,但差异无统计学意义(P>0.05);观察B组手术时间和住院时间均短于对照组和观察A组,差异具有统计学意义(P<0.05);观察A组手术时间和住院时间短于对照组,但差异无统计学意义(P>0.05)。观察B组并发症发生率为9.09%,观察A组为36.36%,对照组为38.10%;观察B组并发症发生率明显低于观察A组和对照组,差异具有统计学意义(P<0.05);观察A组与对照组并发症发生率比较,差异无统计学意义(P>0.05)。结论针对急性胆囊炎患者在发病后48 h内进行手术效果理想,且治疗安全性较高,值得进一步推广。Objective To investigate the clinical efficacy and safety of cholecystectomy with different operative timing for acute cholecystitis. Methods A total of 65 patients with acute cholecystitis were divided into control group for 21 cases, observation group A for 22 cases and observation group B for 22 cases according to the random number table method. In the control group, conventional anti-inflammatory and selective surgery were performed firstly after the onset of the disease. In the observation group A, surgery was performed within 48 to 72 hours after the onset of the disease. In the observation group B, surgery was performed within 48 hours after the onset of the disease. The therapeutic effects and complications of the three groups were compared. Results The intraoperative blood loss of the observation group B was significantly less than those of the control group and the observation group A, the differences were statistically significant （P〈0.05）. The intraoperative blood loss of the observation group A was less than that of the control group, but the difference was not statistically significant （P〉0.05）. The operative time and length of stay in the observation group B were significantly shorter than those in the control group and the observation group A, the differences were statistically significant （P〈0.05）. The operative time and length of stay in the observation group A was shorter than that in the control group, but the difference was not statistically significant （P〉0.05）. The incidence of complications in the observation group B, the observation group A and the control group were 9.09%, 36.36% and 58.10% respectively, the incidence of complications in the observation group B was significantly lower than those in the observation group A and the control group, the differences were statistically significant （P〈0.05）. There was no significant difference in the incidence of complications between the observation group A and the control group （P〉O.05）. Conclusion The surge

关 键 词：急性胆囊炎 不同手术时机 胆囊切除术 安全性 临床疗效 

分 类 号：R657.41[医药卫生—外科学]