摘要
目的探讨腹腔镜胆囊切除术治疗胆囊颈部结石嵌顿合并急性胆囊炎的手术时机、手术技巧、治疗效果。方法回顾性分析103例急性结石性胆囊炎急诊行腹腔镜胆囊切除术患者的临床资料,分为颈部结石嵌顿组(n=37)和无颈部结石嵌顿组(n=66),比较两组术前临床相关因素(体温、白细胞总数、胆囊长径、胆囊壁厚度、术前3个月发作次数)、术后并发症发生情况。结果两组术前白细胞总数、胆囊长径比较,差异有统计学意义(P<0.05);两组术前体温、胆囊壁厚度、术前3个月发作次数及术后并发症发生情况比较,差异无统计学意义(P>0.05)。结论胆囊颈部结石嵌顿合并急性胆囊炎患者术前综合评估如无绝对手术禁忌,应及早行手术治疗,经验丰富的术者行腹腔镜胆囊切除术治疗胆囊颈部结石嵌顿合并急性胆囊炎是安全可行的。
Objective To explore the operative opportunity,skills and efficacy of laparoscopic cholecystectomy in the treatment of calculus incarcerated in neck of gallbladder with acute cholecystitis. Methods Clinical data of 103 patients with acute cholecystitis combined with gallstone undergoing LC was retrospectively analyzed. The patients were divided into calculus incarcerated in neck of gallbladder group( n = 37) and calculus not incarcerated group( n = 66). The clinical factors before operation,such as temperature,leukocyte,length-diameter and thickness of gallbladder,the times of pain within three months and postoperative complication were compared between the two group. Results The difference between the two groups of the leukocyte,length-diameter of gallbladder were statistically significant( P < 0. 05). The temperature,thickness of gallbladder,the times of pain within three months before operation and postoperative complication were not significantly different between the two groups. Conclusion For the patients with acute cholecystitis combined with calculus incarcerated in neck of gallbladder,LC should be performed as far as possible in the patients with no contraindications before operation and is safe and feasible for the experienced surgeons.
出处
《安徽医药》
CAS
2017年第10期1823-1826,共4页
Anhui Medical and Pharmaceutical Journal
关键词
腹腔镜胆囊切除术
胆囊颈部结石嵌顿
急性胆囊炎
Laparoscopic cholecystectomy
Calculus incarcerated in neck of gallbladder
Acute cholecystitis
