术后急性胆囊炎的早期诊断和治疗

Early diagnosis and treatment of postoperative acute cholecystitis

目的探讨术后急性胆囊炎的病因、早期诊断和治疗方法。方法回顾性分析16例术后急性胆囊炎的临床资料。结果16例中,术前B超确诊12例,CT确诊3例,另1例误诊为吻合口瘘,后经手术确诊。手术治疗15例,治愈14例,死亡1例;非手术治疗1例,治愈1例。结论术后急性胆囊炎起病急,发展快,病因复杂,病死率高。提高对本病的认识、早期诊断和有效的处理是降低死亡率的关键。

Objective To investigate the causes, early diagnosis and treatment of postoperative acute cholecystitis. Methods Clinical data of 16 patients with postoperative acute cholecystitis were retrospectively analyzed. Results Of 16 patients, 12 patients were diagnosed by B - ultrasonography, 3 patients were diagnosed by CT, 1 patients was misdiagnosed and correct diagnosis was made only during operation. 15 patients underwent operations, 14 patients were cured and one patients died ; 1 patients were treated conservatively and was finally cured. Conclusion Postoperative acute cholecystitis occurs urgently, develops quickly with high mortality and complicated causes. Early diagnosis and effective treatment are the key to reducing the mortality.