中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
5期
21-21,23
,共2页
急性胆囊炎%腹腔镜胆囊切除术%体会
急性膽囊炎%腹腔鏡膽囊切除術%體會
급성담낭염%복강경담낭절제술%체회
Acute cholecystitis%Laparoscopic cholecystectomy%Experience
目的：探讨腹腔镜胆囊切除术(LC)治疗急性胆囊炎患者的效果。方法：2008年2月-2014年3月收治急性胆囊炎患者258例，给予LC进行治疗。结果：258例患者中顺利完成LC手术235例，手术时间45～135 min，平均(90±22.5)min。1例患者由于胆囊穿孔内瘘、坏疽症状而选择中转开腹，2例术中胆总管损伤而选择中转开腹，20例患者由于胆囊三角区域出现广泛粘连现象而选择中转开腹。结论：只有准确把握患者的手术特征、手术时机，并具有大量的临床经验与一定的手术技巧，才能够保证LC手术对急性胆囊炎患者的治疗效果。
目的：探討腹腔鏡膽囊切除術(LC)治療急性膽囊炎患者的效果。方法：2008年2月-2014年3月收治急性膽囊炎患者258例，給予LC進行治療。結果：258例患者中順利完成LC手術235例，手術時間45～135 min，平均(90±22.5)min。1例患者由于膽囊穿孔內瘺、壞疽癥狀而選擇中轉開腹，2例術中膽總管損傷而選擇中轉開腹，20例患者由于膽囊三角區域齣現廣汎粘連現象而選擇中轉開腹。結論：隻有準確把握患者的手術特徵、手術時機，併具有大量的臨床經驗與一定的手術技巧，纔能夠保證LC手術對急性膽囊炎患者的治療效果。
목적：탐토복강경담낭절제술(LC)치료급성담낭염환자적효과。방법：2008년2월-2014년3월수치급성담낭염환자258례，급여LC진행치료。결과：258례환자중순리완성LC수술235례，수술시간45～135 min，평균(90±22.5)min。1례환자유우담낭천공내루、배저증상이선택중전개복，2례술중담총관손상이선택중전개복，20례환자유우담낭삼각구역출현엄범점련현상이선택중전개복。결론：지유준학파악환자적수술특정、수술시궤，병구유대량적림상경험여일정적수술기교，재능구보증LC수술대급성담낭염환자적치료효과。
Objective:To investigate the treatment effect of laparoscopic cholecystectomy in patients with acute cholecystitis. Methods:258 patients with acute cholecystitis were selected from February 2008 to March 2014.All of them were treated with laparoscopic cholecystectomy(LC).Results:In 258 patients,235 cases were completed LC operation successfully;the operation time were 45~135 min,averaged(90±22.5)min.There were 23 patients conversed to open surgery,in which 1 cases due to perforation of the gallbladder fistula and gangrene symptom,2 cases because of bile duct injury during the operation,and 20 cases due to adhesions phenomenon appears in the gallbladder triangle region.Conclusion:Only through accurately grasping the operation characteristics and operation time of patients,and with a large number of clinical experience and operation skill can ensure the curative effect of LC operation for acute cholecystitis patients.
