急性结石性胆囊炎手术时机的选择

Surgical timing selection of acute calculous cholecystitis

目的:探讨急性结石性胆囊炎手术时机的选择。方法:60例急性结石性胆囊炎分为急诊手术组、延期手术组、择期手术组,每组各20例,对并发症、治疗结果进行统计学分析。结果:急诊手术组和择期手术组的术后并发症发生率均低于延期手术组,择期手术组治愈率高(P<0.05),LC成功率显著高于前两组。结论:急性结石性胆囊炎急诊早期手术和择期手术优于延期手术组。急性胆囊炎发病后72 h内均可进行安全的胆囊切除手术。病程超过1周者宜采取保守治疗,6～8周后行择期手术。

To explore the operation timing selection of acute calculous cholecystitis.Methods ：60 patients with acute calculous cholecystitis were divided into emergency operation, delaying operation and elective operation groups, 20 cases in each group. The results and complications were statistically analyzed.Results：The incidence rate of postoperative complications in the emergency operation and elective operation groups was lower than that of the delaying operation group （P〈0.05）.The cure rate in the elective operation group was higher （P〈O.05）, and laparoscopic cholecystectomy（LC） was significantly higher than that in the other two groups（P〈0.05） and the success rate of LC significantly higher than that of the other two groups.Conclusion：Emergency operation and elective operation is superior to the delaying operation in treating acute calculous cholecystitis.Within 72 h of acute cholecystitis onset, cholecystectomy could be safely performed.In the condition of the disease course more than 1 week, the conservative treatment is suitable to be adopted and the elective operation should be performed after 6-8 weeks.