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目的分析急性坏疽性胆囊炎患者的情况,总结对急性坏疽性胆囊炎患者采取的手术治疗方法 ,探究急性坏疽性胆囊炎患者术式的正确选择方法及注意事项等,以为临床提供参考依据。方法选取本院收治的急性坏疽性胆囊炎患者60例,采用回顾性分析法对患者的资料进行分析,所有患者均根据病情需要进行手术治疗,总结手术治疗效果。结果 60例患者中行胆囊切除术36例,胆囊大部分切除术16例,胆囊造瘘术8例,其中除一例患者死亡外,其他患者均治愈出院,治愈率为98.3%。结论急性坏疽性胆囊炎具有病情严重且发展较快的特点,常合并各种并发症,采取及时有效的手术治疗方法可显著提高治愈率,同时要做好围术期的处理工作,以保证手术疗效。
Objective To analyze the situation of patients with acute gangrenous cholecystitis, summarize the surgical treatment of patients with acute gangrenous cholecystitis, and to explore the correct choice of surgical procedures and precautions for patients with acute gangrenous cholecystitis so as to provide reference for clinical practice. Methods Sixty patients with acute gangrenous cholecystitis admitted to our hospital were selected and analyzed retrospectively. All patients were treated according to the needs of the disease and the surgical treatment effect was summarized. Results Sixty-six cases underwent cholecystectomy, 16 cases underwent gallbladder resection and 8 cases under cholecystostomy. Except for one case, all other patients were cured and discharged. The cure rate was 98.3%. Conclusions Acute gangrenous cholecystitis has the characteristics of severe and rapid development. It is often combined with various complications and the timely and effective surgical treatment can significantly improve the cure rate. At the same time, the perioperative management should be done to ensure that the operation Efficacy.