胆囊部分切除术治疗胆囊炎合并胆结石临床分析

The Clinical Analysis of Cholecystectomy in the Treatment of Cholecystitis With Gallstones

目的对胆囊部分切除手术治疗胆囊炎合并胆结石患者的临床疗效及安全性进行评价。方法收集2015年1月-2016年1月在我院就诊的胆囊炎合并胆结石患者作为受试对象,随机选取64例进行本次研究。患者按照手术方式分为每组32例的对照组和实验组。对患者手术及手术后的相关情况进行对比,评估治疗效果。结果胆囊部分切除术对于患者治疗的临床总有效率(96.9%,31/32)较胆囊全切术(93.8%,30/32)高,但是差异不具有统计学意义(P>0.05)。此外,胆囊部分切除术治疗患者手术及术后恢复情况较胆囊全切术组患者理想,差异均有统计学意义(P<0.05)。胆囊全切术组术后并发症的概率(15.6%)高于胆囊部分切除术组(3.1%),差异有统计学意义(P<0.05)。结论胆囊部分切除术对于合并胆结石的胆囊炎患者治疗的效果理想,且术后患者并发症发生的概率较小,安全性高。

Objective To evaluate the clinical efficacy and safety of partial cholecystectomy patients with surgical treatment of patients with gallstones and cholecystitis. Methods Chose the patients with gallstones and cholecystitis in our hospital from January 2015 to January 2016 as the subjects, 64 cases were randomly selected in this study. The patients the patients were divided into the control group with 32 cases and experimental group with 32 cases. Compared to patients with surgery and after surgery, evaluate the therapeutic effect of partial cholecystectomy. Results The total efficiency for the clinical treatment of patients with（96.9%, 31/32） with gallbladder resection（93.8%, 30/32）, but the difference was not significant（P〉0.05）. In addition, partial cholecystectomy patients treated with surgery and postoperative recovery of patients with gallbladder resection, there were statistically significant differences（P 〈0.05）. The probability of complications of gallbladder resection group（15.6%） was significantly higher than that of partial cholecystectomy group（3.1%）, the difference was statistically significant（P〈0.05）. Conclusion The ideal effect of partial cholecystectomy for cholelithiasis with cholecystitis patients, small probability of occurrence of complications and postoperative, high safety, suggestions for clinical application.