急性胆囊炎行手术治疗时机的选择及对并发症发生率的影响

Choice of surgical treatment timing for acute cholecystitis and its influence on incidence of complications

目的探讨急性胆囊炎行手术治疗时机的选择及对并发症发生率的影响。方法 2015年3月至2018年2月,随机选择我院收治的急性胆囊炎患者86例作为研究对象,利用简单随机法划分为对照组和观察组,各43例。对照组于发病72 h后行手术治疗,观察组于发病后72 h内行手术治疗。比较两组患者手术治疗情况、中转开腹率和术后并发症发生情况。结果观察组的肛门首次排气时间及住院时间均显著短于对照组(P<0.05);观察组的中转开腹率及并发症总发生率均显著低于对照组(P<0.05)。结论针对急性胆囊炎患者,选择适宜的手术治疗时机意义重大,发病72 h以内开展手术治疗效果理想,患者并发症发生率较低,推荐推广。

Objective To explore the choice of surgical treatment timing for acute cholecystitis and its influence on incidence of complications. Methods From March 2015 to February 2018, 86 patients with acute cholecystitis treated in our hospital were randomly selected as the study objects and divided into control group and observation group using a simple randomized method, with 43 cases in each group. The control group underwent surgery after 72 hours of disease onset, the observation group underwent surgical treatment within 72 hours after the disease onset. The surgical treatment status,conversion to laparotomy rate and postoperative complications were compared between the two groups. Results The first anus exhaust time and hospital stay in the observation group were significantly shorter than those in the control group（P〈0.05）. The conversion to laparotomy rate and total incidence of complications in the observation group were significantly lower than those in the control group（P〈0.05）. Conclusion For patients with acute cholecystitis, the choice of appropriate surgical timing is of great significance. Surgical treatment within 72 hours of disease onset is ideal, and the incidence of complications is low, it＇s recommended promotion.