腹腔镜胆囊切除术治疗胆囊颈部结石嵌顿并急性化脓性胆囊炎的疗效和手术时机(1)
 |
| 第1页 |
参见附件。
[摘要] 目的 探讨腹腔镜下行胆囊切除术治疗胆囊颈部结石嵌顿并急性化脓胆囊炎的临床疗效及手术时机。 方法 分析我院收治的449例行胆囊切除术的患者，观察组(225例)为腹腔镜下胆囊切除术，对照组(224例)为常规开腹取胆组。观察组在72 h内行手术者114例，72 h外手术者111例。 结果 ①两组在手术时间、术中出血量比较差异有统计学意义(P < 0.05)。②两组胆汁漏、腹腔脓肿及切口感染率比较，差异有统计学意义(P < 0.05)。③腹腔镜72 h内组与72 h外组切口感染、腹腔脓肿的发生率比较，差异有统计学意义(P < 0.05)。结论 腹腔镜下行胆囊切除术，具有创伤小、出血少、愈合快、痛苦小的优越性，临床上要掌握手术技巧和手术时机，可避免并发症的发生。
[关键词] 腹腔镜；胆囊切除术；胆囊颈部结石嵌顿；急性化脓胆囊炎；疗效
[中图分类号] R657.4 [文献标识码] B [文章编号] 1673-9701(2012)30-0145-02
Therapeutic effect and the operation time of abdominoscope cholecystectomy to hartmann calculus incarceration and acute diapyesis cholecystitis
ZOU Yong
Department of Surgery，the Forth People's Hospital of Haimen City in Jiangsu Province，Haimen 226141，China
[Abstract] Objective To evaluate the therapeutic effect and the operation time of abdominoscope cholecystectomy to hartmann calculus incarceration and acute diapyesis cholecystitis. Methods A total of 449 cases of cholecystectomy patient were retrospectively analyzed. The 449 cases were divided into 225 cases in control group who were given cholecystectomy and 224 cases in experimental who were given conventional laparotomy method. 114 cases in the observation group in 72 h were treated by surgical operation. 111 cases outside 72 h were treated by surgical operation. Results (1)The difference between control group and observation group of the level of operation time， intraoperative amount of bleeding were statistically significant (P < 0.05). (2)The difference between control group and observation group of the level of bile leakage， abdominal abscess and infection of incision in the incidence were statistically significant(P < 0 ......
您现在查看是摘要介绍页，详见PDF附件(2779kb)。