急性胆囊炎治疗方法的选择
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【摘要】目的：为急性胆囊炎患者临床治疗方法的选择提供依据。方法：急性胆囊炎患者行腹腔镜手术治疗和非手术治疗各40例，比较临床资料和术后复发率等。结果：40例手术患者均于入院12～48h内手术，手术时间46～120min，平均时间(62.2±7.5)min，术中出血20～200mL，平均出血(68.3±11.4)mL，术后住院天数4～8d，平均(6.3±1.6)d，术后出现切口感染1例，经加强换药后好转，保守治疗，术后出血2例，使用止血药及充分引流后好转，无严重并发症出现。非手术组40例给予抗炎、适当禁食治疗，疼痛一般在2-48h缓解，无严重并发症发生。结论：急性胆囊炎手术治疗是具有一定困难和风险的，但是及时的手术治疗仍为良好根治方法，在熟练掌握胆囊腹腔镜手术治疗方法和相关技能后，可以取得较好的疗效。
【关键词】急性胆囊炎；手术治疗；腹腔镜
【Abstract】Objective: To provide the basis for patients with acute cholecystitis to chosen clinical treatment methods.MethodsPatients with acute cholecystitis underwent surgical laparoscopic operation and non operation treatment of 40 cases, comparison of clinical data and postoperative recurrence rate。Results40 cases of patients were undersurgical oparationwithin 12-48h. operation time within 46-120 minitiues,bleeding during operation within 20-200ml, Postoperative hospital stay within 4-8days, one case of postoperative incision infection, Postoperative hemorrhage in 2 cases, all improved after conservative treatment, No serious complications, non-surgical group of 40patients were given anti-inflammatory, fastingtherapy, usually pain was relieved in 2-48 hours,No serious complications ......
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