经皮胆囊穿刺造瘘术联合腹腔镜胆囊切除术治疗亚急性胆囊炎
发布时间：2018-08-06 11:18
【摘要】：目的探讨经皮胆囊穿刺造瘘术联合腹腔镜胆囊切除术(LC)治疗亚急性胆囊炎的临床效果。方法回顾分析涪陵中心医院肝胆外科2010年10月至2015年9月收治的143例亚急性胆囊炎患者的临床资料,其中75例采用经皮胆囊穿刺造瘘联合LC治疗,68例采用急诊LC治疗,比较两组的治疗效果。结果与急诊LC组相比,联合组术中胆囊炎症水肿明显减轻(P0.01),手术时间明显缩短(P0.01),术中出血明显减少(P0.01),中转开腹及手术并发症发生率明显降低(P0.05)。结论经皮胆囊穿刺造瘘术能有效减轻胆囊的炎症水肿,使亚急性胆囊炎患者的LC手术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.
【作者单位】： 重庆涪陵中心医院肝胆外科;重庆三峡中心医院肝胆外科;
【分类号】：R657.41
本文编号：2167566
[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.
【作者单位】： 重庆涪陵中心医院肝胆外科;重庆三峡中心医院肝胆外科;
【分类号】：R657.41
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