急性胆囊炎手术时机选择分析

Operation Time for Acute Cholecystitis

目的探讨急性胆囊炎的手术治疗时机。方法将急性胆囊炎患者120例随机分观察组90例和对照组30例。其中总结观察组在患者胆囊炎发病72 h之内进行相应的外科手术治疗;而总结对照组则为发病72 h之后行手术治疗。两组均经过在本院治疗后对2组患者术后并发症(切口感染、胆道损伤、肺部感染)进行观察;对2组的手术时间、住院时间进行记录。结果观察组手术并发症总发生率为16.2%显著低于对照组的29.33%,差异有统计学意义(P<0.05);得出观察组的手术及住院的时间和对照组相比较都较短。结论根据对患者疾病的密切观察,找出符合手术的必备条件,在诊断明确,无手术禁忌证的情况下,手术越早胆囊炎症越轻,术后恢复快。

Objective To choose a proper operation time for acute cholecystitis. Methods 120 patients with acute cholecystitis were randomly divided into the observation group （90 cases） and the control group （30 cases）. In the observation group, patients were operated within 72 hours of the disease attack. In the control group, patients were operated after 72 hours of the disease attack. The two groups were observed in such complications as infection of incisional wound, bile duct injury, and pulmonary infection. The dura-tion of operation and hospital stay of two groups were recorded. Results The occurrence rate of observation group was 16.2% , which was significantly lower than that of the control group （29.33%）. The difference was statistically significant （P〈0.05）. The duration of operation and hospital stay of observation group were shorter than that of the control group. Conclusion Essential conditions should be found out based on close observation of patients. When the diagnosis is clear and there is no operation contraindication, the sooner the operation, the better the postoperative recovery and the lighter the inflammation will be.