摘要
目的:研究经胆囊后三角入路腹腔镜胆囊切除术治疗胆囊结石相关因素。方法:将2017年8月-2019年8月我院62例急性结石性胆囊炎患者62例,分为A组(22例,发病后不超过48小时手术)、B组(20例,发病后超过48小时手术)、C组(20例,接受保守治疗缓解病情后手术)。对比三组患者中转开腹率、并发症发生概率。结果:经三组患者治疗效果比较分析证实,在中转开腹率上,A组患者不存在此类病情,而B组有7例,C组有5例,B组高于C组,B、C两组均高于A组患者。其中B组患者的中转开腹、并发症发生患者数量高于C组,C组出现中转开腹、并发症发生的患者数量居于A组和B组之间。相关数据比较,差异有统计学意义(P<0.05)。结论:经胆囊后三角入路腹腔镜胆囊切除术治疗胆囊结石具有十分重要的作用,能够有效提升患者的诊疗效果,促进不同病程患者预后,可在临床诊疗中广泛利用。
Objective:To study the related factors of cholecystolithiasis treated by laparoscopic cholecystectomy via posterior triangle approach.Methods:From August 2017 to August 2019,62 patients with acute calculous cholecystitis in our hospital were divided into A groups(22 cases,the onset time was not more than 48 hours of surgery),B groups(20 cases,the onset time was more than 48 hours of surgery),C groups(20 cases,after receiving conservative treatment to alleviate the condition of surgery).The rate of transversal laparotomy and the incidence of complications were compared in three groups.RESULTS:By comparing the therapeutic effects of three groups,it was proved that there was no such condition in A group of patients in the rate of transference open abdomen B group had 7 cases,C group had 5 cases,B group was higher than C group,and both groups were higher than A group.The number of patients in B group was higher than that in C group.The number of patients in C group was between A and B groups.Comparison of relevant data was statistically significant(P<0.05).Conclusion:Laparoscopic cholecystectomy via posterior triangular approach can improve the diagnosis and treatment of cholecystolithiasis and promote the prognosis of patients with different course of disease.
作者
林虎
颜士进
张虎
李耀
周杨
唐伟
Lin Hu;Yan Shijin;Zhang Hu;Li Yao;Zhou Yang;Tang Wei(Siyang County Hospital of Chinese Medicine,Jiangsu Siyang 223700)
出处
《中国社区医师》
2020年第36期26-27,共2页
Chinese Community Doctors
关键词
急性结石性胆囊炎
腹腔镜手术
影响因素
应用价值
Acute calculous cholecystitis
Laparoscopic surgery
Influencing factors
Application value
