急性坏疽性胆囊炎的相关危险因素及治疗研究进展

Research progress of related risk factors and treatment of acute gangrenous cholecystitis

急性坏疽性胆囊炎（AGC）多为术中或术后病理明确诊断。在中国，随着老龄化人口增多，其发病率也不断提高。目前认为AGC仍然是急性胆囊炎（AC）行手术治疗的适应证，但AGC的诊治对临床外科医生来说仍然是一种挑战。目前认为年龄、性别、高血压、糖尿病、冠心病、胆石症病史、实验室检查和影像学结果等术前资料可以为AGC的早期诊治和合理选择手术时机提供帮助。

Acute gangrenous cholecystitis is a histologic diagnosis,mostly diagnosed by intraoperative or postoperative pathology. In China, as the aging population increases, the incidence of the disease increases steadily. AGC is still an indication of surgical treatment for acute cholecystitis （ AC）, but the diagnosis and treatment of AGC remains a challenge for clinical surgeons. However, preoperative clinical data such as age, gender,hypertension,diabetes, Coronary heart disease, cholelithiasis disease history, laboratory examination and radiographic results are helpful in early diagnosis and reasonable surgical timing selection.