紧急腹腔镜胆囊切除术的转归及围手术期护理

目的:腹腔镜胆囊切除术是治疗胆囊结石首选措施,早期治疗和护理干预可减轻患者的痛苦。本研究的目的在于比较紧急和延迟腹腔镜手术治疗急性胆囊炎的可行性及安全性,并对护理措施进行讨论。方法:将55例紧急腹腔镜胆囊切除术患者分为两组,A组为发病后72小时内紧急手术患者,B组为发病72小时后延迟手术患者。结果:A组中转为开腹手术19.4%,B组26.3%(P=0.693);平均手术时间(P=0.412)、总住院时间(P=0.626)、胆道损伤和手术后并发症,两组间差异比较无统计学意义。结论:紧急腹腔镜胆囊切除术安全,与延迟手术相比差异无统计学意义。

Objective：Laparoscopic chole-cysteetomy is the preferred measure to eho-lecystolithiasis.Early treatment and nursing intervention can reduce the pain of patients. The purpose of this study is to compare the feasibility and safety of the immediate and delayed laparoscopic operation in the treat-ment of acute choleeystitis,and the nursing measures were discussed.Methods：55 cases of emergency laparoscopie eholecystectomy were divided into two groups.Group A pa-tients was in emergency operation within 72 hours after onset.Group B patients was in emergency operation without 72 hours after onset.Results：We compared the two groups of indicators,such as the probability of con-version to open operation,average operation time,hospitalization time,biliary tract injury and complications after operation.The re-suits found that the differences between these indices were not significant（P 〉 0.05）. Conclusion：Emergency laparoscopic chole-cystectomy is safe and compared with de-layed operation laparotomy operation was no significant difference.