腹腔镜手术治疗急性胆囊炎伴结石的临床效果分析  

Clinical effect of laparoscopic surgery for acute cholecystitis with calculi

作　　者：慈云胜 Ci Yunsheng(Department of Surgery,the People's Hospital of Qingyang County,Anhui 242800,China)

机构地区：[1]安徽省青阳县人民医院外科,242800

出　　处：《中国基层医药》2019年第20期2498-2500,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨腹腔镜手术治疗急性胆囊炎伴结石的临床治疗效果.方法回顾性分析2014年3月至2018年3月在青阳县人民医院行腹腔镜手术治疗的急性胆囊炎伴结石患者126例的临床资料.结果行腹腔镜手术治疗的126例患者中,123例手术顺利,3例术中中转开腹;其中1例术后48 h出现炎性肠梗阻,其余122例术后恢复顺利,均未出现并发症.结论急性胆囊炎伴结石行腹腔镜手术治疗,对发作急性期72 h内的患者疗效显著,而术中中转开腹是对急性胆囊炎手术治疗的最终保障.临床治疗中,应根据患者的总体情况选择合适的手术方式.Objective To investigate the clinical effect of laparoscopic surgery on acute cholecystitis with calculi. Methods Clinical data of 126 patients with acute cholecystitis and calculi treated with laparoscopic surgery from March 2014 to March 2018 were retrospectively analyzed. Results Of the 126 patients treated with laparoscopic surgery, 123 operations went smoothly, 3 cases were converted to laparotomy.One patient developed inflammatory intestinal obstruction 48 hours after surgery, the remaining 122 patients recovered smoothly after surgery, no complications occurred. Conclusion Laparoscopic surgery for acute cholecystitis with calculi has a significant effect on patients within 72 hours of the acute phase of the onset, while intraoperative laparotomy is the ultimate guarantee for the treatment of acute cholecystitis.In clinical treatment, the appropriate operation method should be selected according to the overall situation of patients.

关 键 词：胆囊炎 急性 胆结石 胆囊切除术 腹腔镜 

分 类 号：R657.4[医药卫生—外科学]