急性胆囊炎行手术治疗时机的选择及其对患者预后的影响

Surgical timing selection on acute cholecystitis and its effect on prognosis

目的探讨不同手术治疗时机对急性胆囊炎治疗预后的影响。方法将我院2015年8月至2017年8月收治的112例急性胆囊炎患者作为研究对象,依据手术时机分为甲组(出现症状至手术时间≤72 h)和乙组(出现症状至手术时间>72 h),各56例。比较两组手术各项指标、术后并发症发生情况、住院费用、住院时间以及治疗效果。结果两组的手术时间、中转开腹率及并发症发生率比较,差异均无统计学意义(P>0.05);甲组的胃肠功能恢复时间、住院时间及住院费用均优于乙组(P<0.05)。随访1个月后,两组均无死亡病例发生,两组的治疗效果比较,差异无统计学意义(P>0.05)。结论手术时机与急性胆囊炎治疗效果和预后无关,但早期手术能够缩短住院时间、减少住院费用,促进患者早期康复。

Objective To investigate the effect of surgical timing selection on acute cholecystitis prognosis.Methods From August 2015 to August 2017,112 cases of patients with acute cholecystitis in our hospital were selected as research objects and divided into A group(time of symptoms to the operation臆72 h)and B group(time of symptoms to the surgery>72 h)according to surgical timiny selection.The surgery indicators,postoperative complications,hospitalization expenses,hospital stays and therapeutic effects were compared between the two groups.Results There were no significant differences in operation time,transit operation rate and complication rates between the two groups(P>0.05).The gastrointestinal function recovery time,hospital stays and hospital expenses in the A group were better than those in the B group(P<0.05).After 1 month follow-up,no deaths occurred in both groups,there was no significant difference in the treatment effect between the two groups(T>>0.05).Conclusion The surgical timing is not related to the effect and prognosis on acute cholecystitis,but early operation can shorten hospital stays,reduce hospitalization expenses,and promote early recovery