【摘要】：目的探討經(jīng)皮膽囊穿刺造瘺術(shù)聯(lián)合腹腔鏡膽囊切除術(shù)(LC)治療亞急性膽囊炎的臨床效果。方法回顧分析涪陵中心醫(yī)院肝膽外科2010年10月至2015年9月收治的143例亞急性膽囊炎患者的臨床資料,其中75例采用經(jīng)皮膽囊穿刺造瘺聯(lián)合LC治療,68例采用急診LC治療,比較兩組的治療效果。結(jié)果與急診LC組相比,聯(lián)合組術(shù)中膽囊炎癥水腫明顯減輕(P0.01),手術(shù)時間明顯縮短(P0.01),術(shù)中出血明顯減少(P0.01),中轉(zhuǎn)開腹及手術(shù)并發(fā)癥發(fā)生率明顯降低(P0.05)。結(jié)論經(jīng)皮膽囊穿刺造瘺術(shù)能有效減輕膽囊的炎癥水腫,使亞急性膽囊炎患者的LC手術(shù)具有更高的成功率和安全性。
[Abstract]:Objective to investigate the clinical effect of percutaneous cholecystectomy combined with laparoscopic cholecystectomy (LC) for subacute cholecystitis. Methods the clinical data of 143 patients with subacute cholecystitis treated in the Department of Hepatobiliary surgery in Fuling Central Hospital from October 2010 to September 2015 were retrospectively analyzed. Among them, 75 cases were treated with percutaneous cholecystostomy combined with LC. 68 cases were treated with emergency LC. The therapeutic effects were compared between the two groups. Results compared with the emergency LC group, the inflammation and edema of gallbladder in the combined group were significantly reduced (P0.01), the operative time was shortened (P0.01), the intraoperative bleeding was significantly decreased (P0.01), the incidence of conversion to laparotomy and complications was significantly decreased (P0.05). Conclusion Percutaneous cholecystostomy can effectively reduce inflammation and edema of gallbladder and make LC operation of subacute cholecystitis have higher success rate and safety.
【作者單位】： 重慶涪陵中心醫(yī)院肝膽外科;重慶三峽中心醫(yī)院肝膽外科;
【分類號】：R657.41

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