浅析在不同时机对胆囊结石合并胆源性急性胰腺炎患者进行腹腔镜胆囊切除术的效果  

To analyze the effect of laparoscopic cholecystectomy in patients with cholecystolithiasis combined with biliary acute pancreatitis at different times

作　　者：明志祥[1] Ming Zhixiang(department of general surgery,nantong hospital of traditional Chinese m edicine,nantong Jiangsu 226001)

机构地区：[1]南通市中医院普外科

出　　处：《当代医药论丛》2019年第21期42-44,共3页

摘　　要：目的:分析在不同时机对胆囊结石合并胆源性急性胰腺炎患者进行腹腔镜胆囊切除术的效果。方法:选取2016年1月至2019年1月在南通市中医院进行治疗的58例胆囊结石合并胆源性急性胰腺炎患者作为研究对象。根据这些患者胆源性急性胰腺炎的严重程度将其分为轻症组(MAP组)和重症组(SAP组),每组各29例患者。将发病后3周内进行手术的15例MAP组患者作为1组,将发病3周后进行手术的14例MAP组患者作为2组。将发病后1周内进行手术的13例SAP组患者作为3组,将发病1周后进行手术的16例SAP组患者作为4组。然后比较各组患者术后并发症的发生率、胰腺炎的复发率、住院的时间和住院的费用。结果:1组患者术后并发症的总发生率、胰腺炎的复发率均低于2组患者,其住院的时间短于2组患者,其住院的费用少于2组患者,P<0.05;3组患者术后并发症的总发生率、胰腺炎的复发率均低于4组患者,其住院的时间短于4组患者,其住院的费用少于4组患者,P<0.05。结论:在胆囊结石合并胆源性重症急性胰腺炎患者发病后1周内对其进行腹腔镜胆囊切除术的效果较好。在胆囊结石合并胆源性轻症急性胰腺炎患者发病后3周内对其进行腹腔镜胆囊切除术的效果较好。objective:to analyze the effect of laparoscopic cholecystectomy in patients with cholecystolithiasis combined with biliary acute pancreatitis at different times.Methods:a total of 58 patients with cholecystolithiasis complicated with biliary acute pancreatitis who were treated in nantong hospital of traditional Chinese medicine from January 2016 to January 2019 were selected as subjects.According to the severity of biliary acute pancreatitis,these patients were divided into mild group(MAP group)and severe group(SAP group),with 29 patients in each group.The 15 patients in the MAP group who underwent surgery within 3 weeks after onset were selected as 1 group,and the 14 patients in the MAP group who underwent surgery within 3 weeks after onset were selected as 2 groups.The 13 patients in the SAP group who underwent surgery within 1 week after the onset of the disease were selected as 3 groups,and the 16 patients in the SAP group who underwent surgery within 1 week after the onset of the disease were selected as 4 groups.Then the incidence of postoperative complications,recurrence rate of pancreatitis,length of hospitalization and cost of hospitalization were compared in each group.Results:the overall incidence of postoperative complications and the recurrence rate of pancreatitis in group 1 were lower than those in group 2,the hospitalization duration was shorter than that in group 2,and the hospitalization cost was less than that in group 2,P<0.05.The total incidence of postoperative complications and recurrence rate of pancreatitis in the three groups were lower than that in the four groups,the hospitalization duration was shorter than that in the four groups,and the hospitalization cost was less than that in the four groups,P<0.05.Conclusion:laparoscopic cholecystectomy is effective in patients with cholecystolithiasis and severe acute pancreatitis.Laparoscopic cholecystectomy was performed within 3 weeks after the onset of cholecystolithiasis combined with acute pancreatitis of mild gallbladder disease.

关 键 词：胆囊结石 胰腺炎 胆囊切除术 

分 类 号：R575.6[医药卫生—消化系统]