急诊腹腔镜治疗结石嵌顿性急性胆囊炎的体会

Emergency Laparoscopic Treatment for Calculus Incarcerated Acute Cholecystitis

目的：讨论急诊应用腹腔镜胆囊切除手术对急性结石嵌顿性胆囊炎患者进行治疗的临床效果以及可行性。方法选取我院2012年7月～2014年6月收治的急性结石嵌顿性胆囊炎患者60例，对所有患者的临床资料进行回顾性的分析，并对患者的临床治疗效果进行统计分析。结果急性结石嵌顿性胆囊炎患者经过有效的治疗后，对其临床治疗效果进行观察，其中有40例患者获得显著恢复效果，15例患者获得有效恢复效果，总有效率为91.7％，显效率为66.7％。结论对于急性结石嵌顿性胆囊炎患者来说，应用腹腔镜胆囊切除手术进行治疗具备着显著的临床效果，且发生并发症的概率较低，降低患者手术痛苦，手术后患者可以得到较快的恢复。

Objective To discuss the application of emergency laparoscopic gallbladder surgery for acute calculus incarcerated cholecystitis patients. Methods Chose 60 patients of acute calculus incarcerated cholecystitis from July 2012~June 2014 patients, the clinical data of all patients were retrospectively analyzed, and the clinical therapeutic effect of patients were analyzed.ResultsAcute calculus incarcerated cholecystitis patients after effective treatment, to observe the clinical therapeutic effect, there were 40 patients received a signiifcant effect, 15 patients got effective recovery effect, the total effective rate was 91.7%, the efficiency was 66.7%. Conclusion For patients with acute calculus incarcerated cholecystitis, the application of laparoscopic gallbladder surgery treatment has a signiifcant clinical effect, and low probability of complications, reduce the patients pain, patients can get faster recovery after the surgery.