胆囊结石合并急性胰腺炎患者腹腔镜胆囊切除的手术时机选择及疗效

Selection of Surgical Timing and Curative Effect of Laparoscopic Cholecystectomy in Patients with Gallstones Complicated with Acute Pancreatitis

目的:分析对胆囊结石合并急性胰腺炎患者通过腹腔镜胆囊切除术进行治疗的手术时机选择。方法:选择2018年1月~2019年1月来本院在48h以内采取腹腔镜胆囊切除术治疗的胆囊结石合并急性胆囊炎患者32例作为观察组,同时选择同期来本院择期采取腹腔镜胆囊切除手术治疗的胆囊结石合并急性胆囊炎患者32例作为对照组,对两组患者的临床治疗效果进行评价和比较。结果:两组患者均顺利完成手术治疗,观察组患者在手术时间、术中出血量、肛门排气时间和术后住院时间等相关手术指标方面和对照组之间都没有明显的差异性,P>0.05,差异不存在统计学意义;观察组经过干预以后并发症3例,发生率为9.38%,对照组在干预以后并发症12例,发生率为37.50%,观察组并发症发生率明显低于对照组,P<0.05,存在统计学差异性。结论:临床对胆囊结石合并急性胰腺炎的患者通过腹腔镜胆囊切除手术进行治疗应坚持尽早对患者进行手术治疗的原则,可以有效地降低并发症对患者的影响,促进患者的恢复。

Objective:To analyze the timing of surgical treatment for patients with gallstones and acute pancreatitis treated by laparoscopic cholecystectomy.Methods:From January 2018 to January 2019,32 patients with gallstones and acute cholecystitis who underwent laparoscopic cholecystectomy within 48 hours of our hospital were selected as the observation group of this article.32 patients with cholecystolithiasis and acute cholecystitis treated by microscopic cholecystectomy were used as the control group in this paper,and the clinical treatment effects of the two groups of patients were evaluated and compared.Results:The two groups of patients in this paper successfully completed the surgical treatment.There was no significant difference between the observation group and the control group in terms of operation time,intraoperative blood loss,anal exhaust time and postoperative hospital stay and other related surgical indicators,P>0.05,the difference was not statistically significant;3 cases of complications after intervention in the observation group,the incidence rate was 9.38%,12 cases of complications after intervention in the control group,the incidence rate was 37.50%,the incidence of complications in the observation group was significantly lower In the control group,P<0.05,there was statistical difference.Conclusion:Clinical treatment of patients with gallstones with acute pancreatitis through laparoscopic cholecystectomy should adhere to the principle of surgical treatment of patients as soon as possible,which can effectively reduce the impact of complications on patients and promote the recovery of patients.