急性结石性胆囊炎手术治疗时机的探讨

Study on the timing of surgical treatment for acute calculous cholecystitis

目的:探讨急性结石性胆囊炎患者手术治疗时机的选择。方法:收集120例诊治为急性结石性胆囊炎患者资料。根据疾病发病至手术治疗时间的不同,分为A组(≤48h)60例,B组(48~72h)60例。比较两组患者的术中出血量、手术时间、术后短期并发症发生率、中转开腹率、术后住院时间。结果:A组患者的术中出血量、术后住院时间、手术时间、中转开腹率均少于或低于B组(P<0.05);两组患者的术后短期并发症发生率比较差异无统计学意义(P>0.05)。结论:急性结石性胆囊炎患者的手术治疗时间比较重要,手术治疗急性结石性胆囊炎最好在发病48小时内进行,手术治疗术中相对安全,有利于患者术后的康复。

Objective：To investigate the timing of surgical treatment for patients with acute calculous cholecystitis. Methods：120 cases patients, with acute cholecystitis treated in hospital, were selected as the Objects of study, according to the different time from disease onset to treatment of cholecystectomy they were divided into two groups, Group A（n=60,treatment Within 48 h of Disease）,Group B（n=60, treatment Within 48-72 h of Disease）.Comparison the 2 groups of operation time, postoperative short-term complication rate, conversion rate, hospitalization time after operation. Results：The comparison showed that the intraoperative blood loss,hospitalization time, operation time and rate of conversion to laparotomy in Group A was better than Group B, the differences were statistical significance（P〉0.05）.The difference of the occurrence of complications of two groups was not significant（P〉0.05）. Conclusion：The optimal timing of surgery is important for patients with acute calculous cholecystitis, early surgical treatment is relatively safe during operation, to improve the patients＇ quality of life.