探讨腹腔镜治疗急性结石性胆囊炎的最佳手术时机

To Explore the Best Timing of Laparoscopic Surgery for Acute Calculous Cholecystitis

目的探讨治疗急性结石性胆囊炎行腹腔手术治疗的最佳时机。方法选择50例急性结石性胆囊炎患者,将其分为研究1组(20例)、研究2组(15例)和研究3组(15例),研究1组在48 h内心腹腔镜手术,研究2组在48~96 h内行腹腔镜手术,研究3组在发病96 h后行手术。对手术指标及临床疗效进行对比。结果研究1组、研究2组、研究3组并发症发生率对比,差异无统计学意义(P>0.05)。研究1组与研究3组临床指标对比,差异有统计学意义,P<0.05。结论急性结石性胆囊炎选择腹腔镜进行胆囊切除手术,应早发现、早确定方案并展开治疗。

Objective To investigate the best time for the treatment of acute calculous cholecystitis by abdominal surgery. Methods 50 cases with acute calculous cholecystitis were selected, they were divided into one group （20 cases）, two group （15 cases） and three group （15 cases）, the one groups were treated with internal laparoscopic surgery at 48 h, the two group with laparoscopic surgery at 48 to 96 h, the 3 groups were operated after 96 h. The operation index and clinical effect were compared. Results The incidence of complications in the one group, the two group and the three group were compared, the difference was not statistically significant （P 〉 0.05）. The clinical indicators of the one group and the three groups were compared, the difference was statistically significant, P 〈 0.05. Conclusion Laparoscopic cholecystectomy for acute calculous cholecystitis should be early detection, early determination of the program and treatment.