CAJ | 학술논문

目的探讨经皮经肝胆囊穿刺引流术(PTGBD)联合腹腔镜胆囊切除术(LC)治疗急性危重胆囊炎的临床疗效.方法对比分析PTGBD联合LC治疗组患者(n=35)和急诊LC治疗组患者(n=48)的围手术期相关资料.结果 LC手术时间(t=0.601,P=0.551)和术后住院时间(t=0.979,P=0.331)两组差异无统计学意义;术中失血量[PTGBD+ LC组(79.43 ±46.27) ml,LC组(125.84±64.18) ml;t =3.641,P＜0.05];术后腹腔引流时间[PTGBD+ LC组(3.29±1.58)d,LC组(4.63 ±2.31) d;t=3.131,P＜0.05];术后经口进食时间[PTGBD+ LC组(2.91 ±1.58)d,LC组(4.21 ±2.22)d;t =2.669,P＜0.05]两组间比较差异有统计学意义;急诊LC组的中转开腹率,术中术后病死率,围手术期并发症发生率高于PTGBD联合LC组.结论PTGBD联合LC治疗急性危重胆囊炎的疗效确切,临床疗效优于急诊LC,是值得推广的治疗方式.
목적 탐토경피경간담낭천자인류술(PTGBD)연합복강경담낭절제술(LC)치료급성위중담낭염적림상료효.방법 대비분석PTGBD연합LC치료조환자(n=35)화급진LC치료조환자(n=48)적위수술기상관자료.결과 LC수술시간(t=0.601,P=0.551)화술후주원시간(t=0.979,P=0.331)량조차이무통계학의의;술중실혈량[PTGBD+ LC조(79.43 ±46.27) ml,LC조(125.84±64.18) ml;t =3.641,P＜0.05];술후복강인류시간[PTGBD+ LC조(3.29±1.58)d,LC조(4.63 ±2.31) d;t=3.131,P＜0.05];술후경구진식시간[PTGBD+ LC조(2.91 ±1.58)d,LC조(4.21 ±2.22)d;t =2.669,P＜0.05]량조간비교차이유통계학의의;급진LC조적중전개복솔,술중술후병사솔,위수술기병발증발생솔고우PTGBD연합LC조.결론PTGBD연합LC치료급성위중담낭염적료효학절,림상료효우우급진LC,시치득추엄적치료방식.
Objective To study the effect of percutaneous transhepatic gallbladder drainage (PTGBD) combined with laparoscopic cholecystectomy (LC) in treatment of acute severe cholecystitis.Method The perioperative data of patients treated with PTGBD combined with LC and patients treated with emergency LC were analyzed.Results There were no significant difference between the two groups on surgical duration (t =0.601,P =0.551) and postoperative hospital stay (t =0.979,P =0.331).Blood loss [PTGBD + LC (79.43 ± 46.27) ml,LC (125.84 ± 64.18) ml ; t =3.641,P ＜ 0.05],peritoneal drainage time [PTGDB + LC (3.29 ± 1.58) d,LC (4.63 ± 2.31) d ; t =3.131,P ＜ 0.05] and postoperative oral intake time [PTGBD +LC (2.91 ±1.58)d,LC (4.21 ±2.22)d; t =2.669,P＜0.05] were significantly different between the two groups.The rate of laparotomy,mortality and postoperative complications in the emergency LC group were higher than those in the PTGBD combined with LC group.Conclusions PTGBD combined with LC in the treatment of acute severe cholecystitis was significantly better than emergency LC.