中国卫生产业
中國衛生產業
중국위생산업
CHINA HEALTH INDUSTRY
2014年
34期
3-4,7
,共3页
胆囊颈结石%胆囊积脓%手术治疗
膽囊頸結石%膽囊積膿%手術治療
담낭경결석%담낭적농%수술치료
The gallbladder neck stone%Empyema of gallbladder%Operative treatment
目的：通过探讨胆囊颈结石嵌顿导致胆囊积脓的手术治疗效果，旨在为提高胆囊颈结石嵌顿致胆囊积脓临床疗效和患者生活质量提供理论依据。方法选择2013年1月-2014年1月在该院接受的胆囊颈结石致胆囊积脓患者54例，随机分成研究组和对照组两组，研究组给予患者应用腹腔镜手术治疗，对照组给予传统开腹手术治疗，记录患者手术时间、住院时间、术中出血量及并发症率。结果研究组患者手术时间为103.45 min、住院时间为6.74 d、术中出血量为35.31 mL、并发症率为3.7%，对照组分别为133.30 min、9.89 d、57.43 mL、22.22%，研究组显著优于对照组，且P<0.05差异有统计学意义。结论应用手术方式治疗胆囊颈结石嵌顿胆囊积脓能彻底清除积脓、手术并发症小，是一种安全高效的治疗方式。
目的：通過探討膽囊頸結石嵌頓導緻膽囊積膿的手術治療效果，旨在為提高膽囊頸結石嵌頓緻膽囊積膿臨床療效和患者生活質量提供理論依據。方法選擇2013年1月-2014年1月在該院接受的膽囊頸結石緻膽囊積膿患者54例，隨機分成研究組和對照組兩組，研究組給予患者應用腹腔鏡手術治療，對照組給予傳統開腹手術治療，記錄患者手術時間、住院時間、術中齣血量及併髮癥率。結果研究組患者手術時間為103.45 min、住院時間為6.74 d、術中齣血量為35.31 mL、併髮癥率為3.7%，對照組分彆為133.30 min、9.89 d、57.43 mL、22.22%，研究組顯著優于對照組，且P<0.05差異有統計學意義。結論應用手術方式治療膽囊頸結石嵌頓膽囊積膿能徹底清除積膿、手術併髮癥小，是一種安全高效的治療方式。
목적：통과탐토담낭경결석감돈도치담낭적농적수술치료효과，지재위제고담낭경결석감돈치담낭적농림상료효화환자생활질량제공이론의거。방법선택2013년1월-2014년1월재해원접수적담낭경결석치담낭적농환자54례，수궤분성연구조화대조조량조，연구조급여환자응용복강경수술치료，대조조급여전통개복수술치료，기록환자수술시간、주원시간、술중출혈량급병발증솔。결과연구조환자수술시간위103.45 min、주원시간위6.74 d、술중출혈량위35.31 mL、병발증솔위3.7%，대조조분별위133.30 min、9.89 d、57.43 mL、22.22%，연구조현저우우대조조，차P<0.05차이유통계학의의。결론응용수술방식치료담낭경결석감돈담낭적농능철저청제적농、수술병발증소，시일충안전고효적치료방식。
Objective By discussing the gallbladder neck calculus incarcerated cause the effect of surgical treatment for gallblad-der empyema, designed to improve the gallbladder calculus incarcerated neck to gallbladder empyema provides the theory basis for clinical curative effect and patients' quality of life. Methods Choice in January 2013-January 2014 in our hospital to accept the gallbladder neck stone of 54 patients with gallbladder empyema, randomly divided into research group and the control group two groups, group gives the application of laparoscopic surgery in patients with treatment, the control group given laparotomy, record the operation time, hospitalization time, intraoperative blood loss and complication rate. Results Team operation time was 103.45 min, l Length of hospital stay was 6.74 d, Intraoperative blood loss was 35.31 ml, the complication rate was 3.7%, the control group were 133.30 min and 9.89 d, 57.43 mL, 22.22%, and group was significantly better than control group, P<0.05, the differ-ence was statistically significant. Conclusion Application of surgical treatment of gallbladder calculus incarcerated gall bladder neck empyema can thoroughly remove empyema, small surgical complications, is a safe and effective treatment.
