国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
21期
3263-3266
,共4页
腹腔镜%结石性胆囊炎%急性%疗效
腹腔鏡%結石性膽囊炎%急性%療效
복강경%결석성담낭염%급성%료효
Laparoscopic%Calculous cholecystitis%Acute%Curative effect
目的 分析腹腔镜下手术治疗结石性胆囊炎急性发作的临床疗效.方法 回顾性分析某院2009年1月至2013年6月收治的急性结石性胆囊炎患者的临床资料.结果 实验组患者心率[(85±9)次/min]、收缩压[(119±19)mmHg]、呼吸频率[(24±5)次/min],与对照组心率[(89±11)次/min]、收缩压[(121±20)mmHg]、呼吸频率[(24±5)次/min]比较差异无统计学意义(P＞0.05).实验组术中出血[(62.27±5.22) ml]、术中时间[(56.78±7.69)min]、下床活动时间[(9.64±2.47)h]、住院总天数[(4.01±1.64)d]与对照组术中出血[(115.23±8.72)ml]、术中时间[(72.34±12.56)min]、下床活动时间[(21.20±3.65)h]、住院总天数[(10.34±2.31)d]比较差异有统计学意义(P＜0.05).实验组并发胆管损伤1例、胆心反射1例,对照组并发肠粘连3例、感染2例、胆管损伤4例、出血2例、胆心反射3例,实验组并发例数明显少于对照组,两组比较差异具有统计学意义(P＜0.05).结论 腹腔镜胆囊切除术治疗结石性胆囊炎急性发作,手术创伤小,术后恢复快,并发症发生率低,可在临床中推广使用.
目的 分析腹腔鏡下手術治療結石性膽囊炎急性髮作的臨床療效.方法 迴顧性分析某院2009年1月至2013年6月收治的急性結石性膽囊炎患者的臨床資料.結果 實驗組患者心率[(85±9)次/min]、收縮壓[(119±19)mmHg]、呼吸頻率[(24±5)次/min],與對照組心率[(89±11)次/min]、收縮壓[(121±20)mmHg]、呼吸頻率[(24±5)次/min]比較差異無統計學意義(P＞0.05).實驗組術中齣血[(62.27±5.22) ml]、術中時間[(56.78±7.69)min]、下床活動時間[(9.64±2.47)h]、住院總天數[(4.01±1.64)d]與對照組術中齣血[(115.23±8.72)ml]、術中時間[(72.34±12.56)min]、下床活動時間[(21.20±3.65)h]、住院總天數[(10.34±2.31)d]比較差異有統計學意義(P＜0.05).實驗組併髮膽管損傷1例、膽心反射1例,對照組併髮腸粘連3例、感染2例、膽管損傷4例、齣血2例、膽心反射3例,實驗組併髮例數明顯少于對照組,兩組比較差異具有統計學意義(P＜0.05).結論 腹腔鏡膽囊切除術治療結石性膽囊炎急性髮作,手術創傷小,術後恢複快,併髮癥髮生率低,可在臨床中推廣使用.
목적 분석복강경하수술치료결석성담낭염급성발작적림상료효.방법 회고성분석모원2009년1월지2013년6월수치적급성결석성담낭염환자적림상자료.결과 실험조환자심솔[(85±9)차/min]、수축압[(119±19)mmHg]、호흡빈솔[(24±5)차/min],여대조조심솔[(89±11)차/min]、수축압[(121±20)mmHg]、호흡빈솔[(24±5)차/min]비교차이무통계학의의(P＞0.05).실험조술중출혈[(62.27±5.22) ml]、술중시간[(56.78±7.69)min]、하상활동시간[(9.64±2.47)h]、주원총천수[(4.01±1.64)d]여대조조술중출혈[(115.23±8.72)ml]、술중시간[(72.34±12.56)min]、하상활동시간[(21.20±3.65)h]、주원총천수[(10.34±2.31)d]비교차이유통계학의의(P＜0.05).실험조병발담관손상1례、담심반사1례,대조조병발장점련3례、감염2례、담관손상4례、출혈2례、담심반사3례,실험조병발례수명현소우대조조,량조비교차이구유통계학의의(P＜0.05).결론 복강경담낭절제술치료결석성담낭염급성발작,수술창상소,술후회복쾌,병발증발생솔저,가재림상중추엄사용.
Objective To analyze the clinical curative effect of laparoscopic surgery in the treatment of calcnlous cholecystitis acute attack.Methods A retrospective analysis was carried out to study the clinical data of patients with acute calculous cholecystitis admitted in our hospital from January 2009 to June 2013.Results The experimental group patients had heart rate of (85 ± 9) times/min,systolic blood pressure of (119 ± 19) mmHg,respiratory frequency of (24 ± 5) times/min,and the control group were (89 ± 11) beats/min,systolic blood pressure (121 ± 20) mmHg,respiratory frequency (24 ± 5) times/min,there was no statistical significant difference (P ＞ 0.05).Experimental group had intraoperative bleeding of (62.27 ± 5.22) ml,intraoperative time of (56.78 ± 7.69) min,ambulation time of (9.64 ± 2.47) h,the length of the total number of days was (4.01 ± 1.64) and the control group were intraoperative bleeding (115.23 ± 8.72) ml,intraoperative time (72.34 ± 12.56) min,ambulation time (21.20 ± 3.65) h,the length of the total number of days (10.34 ± 2.31)d,two groups showed statistically significant difference (P ＜ 0.05).Experimental group had 1 case complicated with bile duct injury,bravery heart reflection example,the control group had intestinal adhesion (3 cases),infection in 2 cases,4 cases of bile duct injury,hemorrhage in 2 cases,bravery heart reflected in 3 cases,the number of concurrent cases in the experimental group was significantly fewer than that of the control group,showing statistical significant difference (P ＜ 0.05).Conclusion Laparoscopic cholecystectomy in the treatment of calculous cholecystitis acute episodes has advantages of small surgical trauma,quicker recovery,low incidence of complications,which can be used widely in clinic.
