[1]徐建庆,买赛虎△,杨喜佳,等.腹腔镜手术治疗复杂性胆囊炎临床疗效研究[J].陕西医学杂志,2019,(2):176-178，196.
　XU Jianqing,MAI Saihu,YANG Xijia,et al.Analysis of curative effect in laparoscopic surgery for complicated cholecystitis[J].,2019,(2):176-178，196.
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腹腔镜手术治疗复杂性胆囊炎临床疗效研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年2期
页码:
176-178，196
栏目:
临床研究
出版日期:
2020-02-05

文章信息/Info

Title:
Analysis of curative effect in laparoscopic surgery for complicated cholecystitis
文章编号:
DOI: 10.3969/j.issn.10007377.2019.02.010
作者:
徐建庆1; 买赛虎1△; 杨喜佳1; 于 泳2; 周 亮1; 马庆久1
1.西安高新医院普通外科（西安 710075）;2.武警陕西省总队医院肝胆胸外科（西安 710054）
Author(s):
XU Jianqing; MAI Saihu; YANG Xijia; et al.
Department of General Surgery, Xi’an Gaoxin Hospital（Xi’an 710075）
关键词:
复杂性胆囊炎; 治疗; 腹腔镜胆囊切除术; 开腹胆囊切除术; 疗效; 安全性
Keywords:
Key words Complicated cholecystitis; Therapy; Laparoscopic cholecystectomy; Open cholecystectomy; Therapeutic effect; Security
分类号:
R756.42
文献标志码:
A
摘要:
摘 要 目的：探讨腹腔镜手术治疗复杂性胆囊炎的安全性及可行性。方法：回顾分析186例复杂性胆囊炎患者手术资料，其中腹腔镜手术治疗102例，开腹手术治疗84例，比较两组不同术式的切除率、手术时间、术中出血量、胆道损伤、疼痛评分、切口感染、胆漏、残余结石、住院时间、胆囊造瘘后二期腹腔镜胆囊切除率等方面的差异。结果：腹腔镜胆囊切除术组不同手术方式（胆囊切除术、胆囊次全切除术、胆囊造瘘术）切除率分别为24.5%、55.8%及16.6%，与开腹胆囊切除术组相应手术切除率(26.2%、57.1%、14.3%)比较差异无统计学意义（P＞0.05）；两组手术时间\[(126.51±42.58) min 与 (138.36±55.46) min\]、胆道损伤（2.0% 与 2.4%）、残余结石（2.9% 与 2.4%）、胆漏（6.9% 与 7.1%）比较差异均无统计学意义(P>0.05); 两组术中出血量\[(78.56±22.13) ml 与 (115.46±32.56) ml\]、疼痛评分\[(5.5±1.8)分 与 (8.4±2.1)分\]、住院时间\[(8.5±1.3) d 与 (13.4±2.6) d\]、切口感染率（1.9% 与 10.7%）及胆囊造瘘后二期腹腔镜胆囊切除率（82% 与 33%）比较差异有统计学意义(P<0.05)。结论:具备熟练的手术技巧、选择合理的手术方式，腹腔镜胆囊切除术治疗复杂性胆囊炎是安全、可行的。
Abstract:
Abstract Objective：To study the safety and feasibility of laparoscopic surgery in the treatment of complicated cholecystitis. Methods:The 186 patients with complicated cholecystitis were collected were divided into laparoscopic cholecystectomy group (102 cases) and open cholecystectomy group(84 cases). The operation situations, operation time,blood loss, biliary duct injury, pain rating index,wound infection，biliary leakage，residual stones, hospital stay time,secondary laparoscopic cholecystectomy were compared between the two groups.Results:Of the 102 patients inlaparoscopic cholecystectomy group,25(24.5%) underwent cholecystectomy,57(55.8%) underwent partial cholecystectomy, 17(16.6%) underwent cholecystostomy, and there was no significant difference between laparoscopic cholecystectomy group and open cholecystectomy group (26.2%, 57.1%, 14.3%). No significant difference in operation time，biliary duct injury,biliary leakage and residual stones(P＞0.05)，but the difference in amount of blood loss \[(78.56±22.13)ml vs (115.46±32.56)ml\],pain rating index\[(5.5±1.8)marks vs (8.4±2.1)marks\], hospital stay time\[(8.5±1.3)d vs (13.4±2.6)d\], wound infection rate（1.9% vs 10.7%）and secondary laparoscopic cholecystectomy rate（82% vs 33%）was statistically significant (P<0. 05). The laparoscopic cholecystectomy group was better than open cholecystectomy group.Conclusion:Under the skillful operative technique and the strict selection of operation indications ,laparoscopic cholecystectomy is safe.

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更新日期/Last Update: 2019-03-13