国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2009年
22期
34-36
,共3页
小切口%胆囊切除术%临床分析
小切口%膽囊切除術%臨床分析
소절구%담낭절제술%림상분석
Small incision%Cholecystectomy%Clinical analysis
目的 探讨小切口胆囊切除术的临床应用价值.方法 对359例病例的小切口胆囊切除术资料进行回顾性分析,总结小切口胆囊切除术的手术优点和手术操作要点.结果 359例小切口胆囊切除术均顺利完成,术后未用止痛药物的172例,占47.9%,24h内均恢复进食并下床活动,无意外出血,无1例切口感染;术后7 d内出院的241例,占67.1%,住院时间最长者11d,手术时间最短38min,最长135min,平均52min,术后349例7～24h离床活动,252例未行术后镇痛.术后出院时间4～20d,平均随访6个月,无1例并发症发生.结论 小切几胆囊切除术安全,手术时间短,患者痛苦小、恢复快、住院时间短、瘢痕小,其操作要点易于掌握,只要掌握MC的适应证,排除Calot三角处严重水肿、粘连,大多数病人均可行MC手术.
目的 探討小切口膽囊切除術的臨床應用價值.方法 對359例病例的小切口膽囊切除術資料進行迴顧性分析,總結小切口膽囊切除術的手術優點和手術操作要點.結果 359例小切口膽囊切除術均順利完成,術後未用止痛藥物的172例,佔47.9%,24h內均恢複進食併下床活動,無意外齣血,無1例切口感染;術後7 d內齣院的241例,佔67.1%,住院時間最長者11d,手術時間最短38min,最長135min,平均52min,術後349例7～24h離床活動,252例未行術後鎮痛.術後齣院時間4～20d,平均隨訪6箇月,無1例併髮癥髮生.結論 小切幾膽囊切除術安全,手術時間短,患者痛苦小、恢複快、住院時間短、瘢痕小,其操作要點易于掌握,隻要掌握MC的適應證,排除Calot三角處嚴重水腫、粘連,大多數病人均可行MC手術.
목적 탐토소절구담낭절제술적림상응용개치.방법 대359례병례적소절구담낭절제술자료진행회고성분석,총결소절구담낭절제술적수술우점화수술조작요점.결과 359례소절구담낭절제술균순리완성,술후미용지통약물적172례,점47.9%,24h내균회복진식병하상활동,무의외출혈,무1례절구감염;술후7 d내출원적241례,점67.1%,주원시간최장자11d,수술시간최단38min,최장135min,평균52min,술후349례7～24h리상활동,252례미행술후진통.술후출원시간4～20d,평균수방6개월,무1례병발증발생.결론 소절궤담낭절제술안전,수술시간단,환자통고소、회복쾌、주원시간단、반흔소,기조작요점역우장악,지요장악MC적괄응증,배제Calot삼각처엄중수종、점련,대다수병인균가행MC수술.
Objective To investigate the miuilaparotomy cholceystectomy (MC) value in clinical application.Methods 359 cases of minilaparotomy cholecystectomy were retrospectively analyzed,summarized the advantages and the main point of surgery and operation of the minilaparotomy cholecystectomy.Results 359 cases of minilaparotomy cholecystectomy were successfully completed,after the operation,there were 172 cases without using the painkiller,accounting for 47.9%.Within 24 hours all recovered to take food and have out-of-bed activity,non-accidental bleeding,none of the incisions had infection.241 cases of the patients discharged from the hospital within 7d after operations,accounting for 67.1%,the longest length of stay was 11d.The shortest operation time was 38 minutes,and the longest one was 135 minutes,the average time was 52 minutes,there were 349 cases have the out-of-bed with 7-24 hours after the operations,and 252 cases were without postoperative analgesia.The discharged time was within 4～20d,the average time of follow-up visit was 6 months.there was none of eomplications.Conclusions The minilaparotomy cholecystectomy was safe,little painful,with short operative time,quick recovery,short hospitalization time,small sear,and easy to grasp the main points of its operation,as long as the master of the indications for MC.Rule out the serious edema of Calot triangle,adhesion patients,majority of patients can be MC linesurgery.Operators can do skilifully.h is worth for extending.
