急性胆囊炎腹腔镜胆囊切除术的手术时机研究  

Study on the timing of laparoscopic cholecystectomy for acute cholecystitis

作　　者：吴桂滨 Wu Guibin(The People's Hospital of Shanwei City,Guangdong Province,Guangdong,Shanwei 516600)

机构地区：[1]广东省汕尾市人民医院

出　　处：《中国社区医师》2020年第6期59-60,共2页Chinese Community Doctors

摘　　要：目的:探讨急性胆囊炎腹腔镜胆囊切除术的手术时机。方法:2018年4月-2019年1月收治急性胆囊炎患者81例,按手术时机不同分为A组(早期)36例、B组(择期)28例、C组(延期)17例。所有患者均行腹腔镜胆囊切除术治疗。对比三组各项手术指标水平、试验室指标水平和并发症发生率。结果:A组和B组手术时间、住院时间、术中出血量均低于C组,谷丙转氨酶、白细胞计数、总胆红素等指标水平均高于C组,差异有统计学意义(P<0.05)。A组和B组术后并发症发生率均低于C组,差异有统计学意义(P<0.05)。结论:急性胆囊炎腹腔镜胆囊切除术效果较好,临床手术治疗应尽量在72 h完成,以实现治疗效果最优化。Objective:To explore the timing of laparoscopic cholecystectomy for acute cholecystitis.Methods:From April 2018 to January 2019,81 patients with acute cholecystitis were selected,according to the time of operation,they were divided into group A(early stage)of 36 cases,group B(selective stage)of 28 cases and group C(delayed stage)of 17 cases.All patients underwent laparoscopic cholecystectomy.We compared the three groups'operation index level,laboratory index level and complication rate.Results:In group A and B,the operation time,hospitalization time and intraoperative bleeding volume were lower than those in group C,and the levels of alanine aminotransferase,leukocyte technology and total bilirubin were higher than those in group C,the difference was statistically significant(P<0.05).In group A and B,the incidence of postoperative complications was lower than that in group C,the difference was statistically significant(P<0.05).Conclusion:The effect of laparoscopic cholecystectomy for acute cholecystitis is better,the clinical operation should be completed in 72 hours as far as possible to achieve the optimal treatment effect.

关 键 词：急性胆囊炎 腹腔镜胆囊切除术 手术时机 

分 类 号：R657.4[医药卫生—外科学]