择期和急诊腹腔镜手术治疗急性胆囊炎胆囊结石患者的临床疗效  

Clinical efficacy of elective and emergency laparoscopic surgery in the treatment of patients with acute cholecystitis and cholecystolithiasis

作　　者：余忠桥 金俊 张嵬 YU Zhongqiao;JIN Jun;ZHANG Wei(Department of Emergency Surgery,Jiujiang Hospital of Traditional Chinese Medicine,Jiujiang,Jiangxi,332000,China;Department of Surgery,Jiujiang Hospital of Traditional Chinese Medicine,Jiujiang,Jiangxi,332000,China;Department of Pathology,Jiujiang Hospital of Traditional Chinese Medicine,Jiujiang,Jiangxi,332000,China)

机构地区：[1]九江市中医医院急诊外科,江西九江332000 [2]九江市中医医院外5科,江西九江332000 [3]九江市中医医院肛肠科,江西九江332000

出　　处：《当代医学》2022年第14期142-144,共3页Contemporary Medicine

摘　　要：目的探讨急性胆囊炎胆囊结石患者采用择期和急诊腹腔镜手术治疗的临床疗效。方法选取2019年1月至2021年1月九江市中医医院收治的98例急性胆囊炎胆囊结石患者作为研究对象,按随机数字表法分为参照组和研究组,各49例。参照组采用择期腹腔镜手术治疗,研究组采用急诊腹腔镜手术治疗,比较两组围术期指标(住院时间、术中出血量、手术时间、中转开腹率)及并发症发生情况。结果研究组住院时间及手术时间均短于对照组,术中出血量少于对照组,中转开腹率低于参照组,差异有统计学意义(P<0.05)。研究组并发症发生率为12.24%,略低于参照组的18.37%,但差异无统计学意义。结论采用择期和急诊腹腔镜手术治疗急性胆囊炎胆囊结石患者效果均较好,急诊腹腔镜手术可缩短住院时间、手术时间,减少术中出血量,降低中转开腹率,且不增加并发症发生率,安全性较高,临床应根据患者的具体情况选择适宜的治疗方案。Objective To investigate the clinical efficacy of elective and emergency laparoscopic surgery in patients with acute cholecystitis and cholecystolithiasis.Methods A total of 98 patients with acute cholecystitis and cholecystolithiasis admitted to Jiujiang Traditional Chinese Medicine Hospital from January 2019 to January 2021 were selected as the research subject,and they were divided into reference group and study group according to the random number table method,with 49 cases in each group.The reference group was treated with elective laparoscopic surgery,and the study group was treated with emergency laparoscopic surgery,the perioperative indexes(hospitalization time,intraoperative blood loss,operation time and conversion rate to laparotomy)and complications were compared between the two groups.Results The hospitalization time and operation time in the study group were shorter than those in the reference group,the intraoperative blood loss was less than that of the reference group,and the rate of conversion to laparotomy was lower than that of the reference group,and the differences were statistically significant(P<0.05).The total incidence of complication in the study group was 12.24%,slightly lower than that 18.37%in the reference group,but the difference was not statistically significant.Conclusion Elective and emergency laparoscopic surgery in the treatment of patients with acute cholecystitis and cholecystolithiasis has good effect,If the condition allows,emergency laparoscopic surgery can be preferred,which can shorten hospitalization time and operation time,reduce intraoperative blood loss,the rate of conversion to laparotomy,and does not increase the incidence of complications.However,the appropriate treatment plan should be selected according to the specific situation of the patient.

关 键 词：急性胆囊炎胆囊结石 择期腹腔镜手术 急诊腹腔镜手术 并发症 

分 类 号：R657.4[医药卫生—外科学]