论文部分内容阅读
目的:探讨不同手术时间急性胆囊炎患者的疗效及预后影响。方法:对我院2014年3月-2017年2月63例急性胆囊炎行腹腔镜胆囊切除术患者的临床资料进行回顾性分析,比较A组(胆囊炎发作<24 h)、B组(胆囊炎发作24-72 h)、C组(胆囊炎发作>72 h)手术时间、术中出血量、住院时间以及治疗总有效率和并发症发生率。结果:A组手术时间及住院时间明显均低于B、C组(P<0.05);三组术中出血量比较差异无统计学意义(P>0.05);A组总有效率为95.24%明显优于B组71.43%与C组61.90%(P<0.05);A组术后并发症发生率明显低于B、C组(P<0.05)。结论:急性胆囊炎患者在24 h内行腹腔镜胆囊切除术的临床疗效最佳,能够有效地减轻患者临床症状,降低并发症发生率,值得在临床中推广与应用。
Objective: To investigate the curative effect and prognosis of patients with acute cholecystitis at different operation time. Methods: The clinical data of 63 patients with acute cholecystitis undergoing laparoscopic cholecystectomy in our hospital from March 2014 to February 2017 were retrospectively analyzed. The clinical data of group A (cholecystitis onset <24 h), group B (gallbladder Inflammatory episodes 24-72 h), group C (cholecystitis seizures> 72 h) operation time, intraoperative blood loss, length of hospital stay, and treatment of total effective rate and complication rate. Results: The operation time and hospitalization time in group A were significantly lower than those in group B and C (P <0.05). There was no significant difference in the amount of bleeding between the three groups (P> 0.05). The total effective rate in group A was 95.24% 71.43% in group B and 61.90% in group C (P <0.05). The incidence of postoperative complications in group A was significantly lower than that in group B and C (P <0.05). Conclusions: Laparoscopic cholecystectomy in patients with acute cholecystitis has the best clinical curative effect within 24 hours, which can effectively reduce the clinical symptoms and reduce the incidence of complications, which is worthy of promotion and application in clinic.