早期手术治疗急性梗阻性胆囊炎的疗效观察

Clinical effect of early surgical treatment on acute obstructive cholecystitis

目的探讨早期手术治疗急性梗阻性胆囊炎的临床疗效.方法选择2014年1月至2016年5月本院收治的80例急性梗阻性胆囊炎患者,随机分为对照组和观察组,每组40例.对照组患者先行保守治疗,再择期行胆囊切除术治疗,观察组纠正急性生理紊乱后立即行早期手术治疗,比较两组患者症状缓解时间、住院时间、术后并发症发生情况.结果两组患者均顺利完成手术.观察组症状缓解时间（2.56±1.18）d、体温恢复正常时间（2.45±0.75）d、住院时间（6.23土1.45）h、术后引流时间（1.12±5.24）d显著短于对照组,差异有统计学意义（P〈0.05）.观察组术后并发症发生率（7.50%）显著低于对照组（17.50%）,组间差异显著（P〈0.05）.结论急性梗阻性胆囊炎采用早期手术治疗,可迅速缓解患者症状,降低术后并发症风险,有助于改善患者预后.

Objective To evaluate the clinical efficacy of early surgical treatment on acute obstructive cholecystitis. Methods Eighty cases of patients with acute obstructive cholecystitis in our hospital from January 2014 to May 2016 were randomly divided into control group and observation group, with 40 cases in each group. Patients in the control group were treated with conservative treatment, and then the cholecystectomy was carried out. Patients in the observation group were treated with surgical treatment after correct acute physical disruption. The symptomatic remission time, hospitalization time and incidence rate of postoperative complications of the two groups were compared. Results Operations of the two groups were all successfully completed. The time of symptomatic remission （2.56±1.18）d,normalbodytemperaturerecovery （2.45±0.75）d,hospitalstay （6.23 ±1.45） hand postoperative drainage （1.12 ±5.24） d of the observation group were significantly lower than those of the control group （P〈0.05）. The incidence of postoperative complications （7.50%） of the observation group was significantly lower than that of the control group （17.50%） （ P〈0.05）. Conclusion Early surgical treatment can be used to treat acute obstructive cholecystitis, which could quickly relieve patients＇ symptoms, reduce the risk of postoperative complications, and help to improve the prognosis of patients.