安徽医药
安徽醫藥
안휘의약
ANHUI MEDICAL AND PHARMACEUTICAL JOURNAL
2015年
1期
116-117
,共2页
急性胆囊炎%急性胆囊炎急诊术%急性胆囊炎延期术
急性膽囊炎%急性膽囊炎急診術%急性膽囊炎延期術
급성담낭염%급성담낭염급진술%급성담낭염연기술
acute cholecystitis%ELC%DLC
目的：探讨急性胆囊炎行急诊（ELC）和延期（DLC）腹腔镜胆囊切除术的安全性和有效性。方法回顾分析2005年1月—2009年6月93例治疗急性胆囊炎患者的临床资料。以起病时间≤72 h 和＞72 h 分为 ELC 组和 DLC 组进行对比分析。比较各组手术时间、术中出血量、中转开腹率、术后并发症发生率、住院时间、治疗费用。结果ELC 组手术时间平均（91±26．2）min，术中出血量（64．2±32．8）mL，中转开腹率4．44％，术后并发症发生率8．9％（4／45），住院时间平均（4±2．7）d，治疗费用平均（4320±1450）元；DLC 组手术时间平均（104±34．7）min，术中出血量平均（65．4±38．9）mL，中转开腹率8．3％，并发症发生率10．5％（5／48），住院时间平均（8±3．9）d，治疗费用平均（6970±1572）元。ELC 组在住院时间和治疗费用方面明显小于 DLC 组（P ＜0．01）。结论ELC 与 DLC 在治疗急性胆囊炎方面均有安全性，ELC 相对 DLC 具有住院时间短，费用较低，恢复较快等特点，在治疗结果和生活质量上更具优势。
目的：探討急性膽囊炎行急診（ELC）和延期（DLC）腹腔鏡膽囊切除術的安全性和有效性。方法迴顧分析2005年1月—2009年6月93例治療急性膽囊炎患者的臨床資料。以起病時間≤72 h 和＞72 h 分為 ELC 組和 DLC 組進行對比分析。比較各組手術時間、術中齣血量、中轉開腹率、術後併髮癥髮生率、住院時間、治療費用。結果ELC 組手術時間平均（91±26．2）min，術中齣血量（64．2±32．8）mL，中轉開腹率4．44％，術後併髮癥髮生率8．9％（4／45），住院時間平均（4±2．7）d，治療費用平均（4320±1450）元；DLC 組手術時間平均（104±34．7）min，術中齣血量平均（65．4±38．9）mL，中轉開腹率8．3％，併髮癥髮生率10．5％（5／48），住院時間平均（8±3．9）d，治療費用平均（6970±1572）元。ELC 組在住院時間和治療費用方麵明顯小于 DLC 組（P ＜0．01）。結論ELC 與 DLC 在治療急性膽囊炎方麵均有安全性，ELC 相對 DLC 具有住院時間短，費用較低，恢複較快等特點，在治療結果和生活質量上更具優勢。
목적：탐토급성담낭염행급진（ELC）화연기（DLC）복강경담낭절제술적안전성화유효성。방법회고분석2005년1월—2009년6월93례치료급성담낭염환자적림상자료。이기병시간≤72 h 화＞72 h 분위 ELC 조화 DLC 조진행대비분석。비교각조수술시간、술중출혈량、중전개복솔、술후병발증발생솔、주원시간、치료비용。결과ELC 조수술시간평균（91±26．2）min，술중출혈량（64．2±32．8）mL，중전개복솔4．44％，술후병발증발생솔8．9％（4／45），주원시간평균（4±2．7）d，치료비용평균（4320±1450）원；DLC 조수술시간평균（104±34．7）min，술중출혈량평균（65．4±38．9）mL，중전개복솔8．3％，병발증발생솔10．5％（5／48），주원시간평균（8±3．9）d，치료비용평균（6970±1572）원。ELC 조재주원시간화치료비용방면명현소우 DLC 조（P ＜0．01）。결론ELC 여 DLC 재치료급성담낭염방면균유안전성，ELC 상대 DLC 구유주원시간단，비용교저，회복교쾌등특점，재치료결과화생활질량상경구우세。
Objective To investigate the safety and feasibility of ELC and DLC for treating acute cholecystitis.Methods The clinical data of 93 cases with acute cholecystitis undergoing acute laparoscopic cholecystectomy(LC)from January 2005 to June 2009 were ana-lyzed retrospectively.All cases were divided into early laparoscopic cholecystectomy(ELC)group and delayed laparoscopic cholecystec-tomy(DLC)group by whether the patients had LC within 72 hours after onset or not.Comparative analysis was made between the 2 groups.The operation time,intraoperative blood loss,conversion to open cholecystectomy,postoperative complications,total hospital stay,hospitalization cost were compared.Results The operative time in ELC and DLC group was (91 ±26.2)min and(104 ±34.7) min,respectively.The intraoperative blood losses in the 2 groups was (64.2 ±32.8)ml and (65.4 ±38.9)ml,respectively.The rates of conversion to laparotomy was 4.4%,8.3%.The rates of postoperative complications were (8.9%,4 /45)and (10.5%,5 /48).The mean hospital stays were (4 ±2.7)d and (8 ±3.9)d,respectively.The hospitalization costs were (4 320 ±1 450)yuan and (6 970 ± 1 572)yuan,respectively.Compared with the DLC group,the total hospital stay significantly reduced and hospitalization cost was signifi-cantly lower in the ELC group(P <0.01).Conclusions ELC and DLC for patients with acute cholecystitis are safe and effective. Compared with the DLC group,the ELC group has advantages of shorter hospital stay and fewer cost,quicker recovery,and better treat-ment outcome and life quality.
