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目的:研究不同时机下腹腔镜胆囊切除术治疗急性结石性胆囊炎的效果,总结转开腹手术影响因素。方法:选取我院2014年12月-2016年7月40例急性结石性胆囊炎患者,对其均进行腹腔镜胆囊切除术,按照手术时机差异分为观察组与对照组,对比两组转开腹手术发生率以及发生原因进行对比分析。结果:观察组转开腹手术发生率10.00%,并发症发病率15.00%,对照组转开腹手术发生率为25.00%,并发症发病率30.00%,两组手术情况、临床症状严重程度差异明显具有统计学意义(P<0.05)。结论:急性结石性胆囊炎患者在发病后48小时内接受手术治疗的效果明显,如患者的手术时机不恰当,在手术前胆囊渗出严重,则容易导致患者腹腔镜转开腹手术发生,值得临床注意。
Objective: To study the effect of laparoscopic cholecystectomy on acute calculous cholecystitis under different timings and to summarize the influencing factors of laparoscopic surgery. Methods: Forty patients with acute calculous cholecystitis from December 2014 to July 2016 in our hospital were enrolled in this study. Laparoscopic cholecystectomy was performed in both groups. According to the timing of operation, the patients were divided into observation group and control group. The incidence of abdominal surgery and the causes were compared. Results: In the observation group, the incidence of open surgery was 10.00%, the incidence of complications was 15.00%. In the control group, the incidence of open surgery was 25.00% and the incidence of complications was 30.00%. There was significant difference between the two groups in the severity of surgery and clinical symptoms Statistically significant (P <0.05). CONCLUSIONS: Acute calcific cholecystitis patients underwent surgical treatment within 48 hours after onset of symptoms. Patients with inappropriate timing of operation and serious gallbladder exudation before surgery are likely to cause laparoscopic laparoscopic surgery. It is worthwhile Clinical attention.