CAJ | 학술논문

目的：探讨急性胆囊炎患者行腹腔镜胆囊切除术后引发中转开腹的临床发病因素。方法：采集本院收治的需进行腹腔镜胆囊切除术的急性胆囊炎患者共120例，按发病时间分为三组。均实施相同手术方法，观察手术后需进行中转开腹的发病率。结果：三组手术时间、并发症等比较差异均无统计学意义（P>0.05）。患者救治时间对引发中转开腹有着直接的影响（P<0.05）。同时患者的体温、胆囊壁厚度、胆囊有无肿大，以及白细胞计数等均对中转开腹率有着直接的影响（P<0.05）。结论：对于急性胆囊炎患者在出现症状后72 h内为进行腹腔镜手术的最好治疗时机，同时体温及白细胞计数等因素与引发中转开腹存在明显的相关性。
목적：탐토급성담낭염환자행복강경담낭절제술후인발중전개복적림상발병인소。방법：채집본원수치적수진행복강경담낭절제술적급성담낭염환자공120례，안발병시간분위삼조。균실시상동수술방법，관찰수술후수진행중전개복적발병솔。결과：삼조수술시간、병발증등비교차이균무통계학의의（P>0.05）。환자구치시간대인발중전개복유착직접적영향（P<0.05）。동시환자적체온、담낭벽후도、담낭유무종대，이급백세포계수등균대중전개복솔유착직접적영향（P<0.05）。결론：대우급성담낭염환자재출현증상후72 h내위진행복강경수술적최호치료시궤，동시체온급백세포계수등인소여인발중전개복존재명현적상관성。
To explore the clinical risk factors causing laparotomy in patients with acute cholecystitis after laparoscopic cholecystectomy.Method:120 hospitalized patients with acute cholecystitis were collected,who needed undergoing laparoscopic cholecystectomy,they were divided into three groups according to the time of onset. They were using the same operation method,Laparotomy incidence after operation was observed.Result:The operation time,complications of three groups were no statistical significance(P>0.05). Treatment time had a direct impact on the trigger laparotomy(P<0.05). At the same time,the patient’s temperature,thickness of gallbladder wall,the swollen gallbladder,and white blood cell count differences had a direct impact on the rate of laparotomy(P<0.05).Conclusion:The best therapeutic window of opportunity of laparoscopic operation for patients with acute is less than 72 h after the onset of symptoms cholecystitis,at the same time,body temperature and white blood cell count and other factors is obvious correlated with the conversion rate.