急性非结石性胆囊炎病因和手术时机探讨

DISCUSSION ON ETILOGY AND THERAPY OF ACUTE NON-CALCULOUS CHOLECYSTITIS

目的 探讨急性非结石性胆囊炎 (ACC)发病原因和手术时机。方法 回顾性总结 2 2例接受手术治疗的 ACC病例 ,分析术前、术中影像学及术后病理检查结果。结果 2 2例中有 9例 (4 0 .9% )发现胆固醇息肉、颗粒 ,或结晶。术中见胆囊穿孔 5例 (2 2 .7% )。 2例在胆总管内发现漂浮的微小结石。结论 胆囊内未被发现的微小结石可能是 ACC发病的主要原因 ,ACC穿孔率高 。

Objective To investigate the etioloty of acute non calcuolus cholecystitis (ACC) and appropriate time for operation.Methods 22 ACC patients operated were reviewed. The preoperative data,and intraoperative image examination and pathologic results were analyzed.Result Of the 22,cholesterol polyps or crystal was found in 9 (40.9%),and perfortion was found in 5 (22.7%).Minimal stone floating in the common bile duct was found in 2.Conclusion Minimal stone that can not be easily found may be the main reason of ACC.Operation should be performed in the early stage because ACC has a higher perforation rate.