CAJ | 학술논문

目的：探讨在不剥离胆囊床、不解剖胆囊三角的前提下，应用超声刀对急性结石性梗阻性胆囊炎患者进行胆囊切除术的可行性。方法：收治急性结石性梗阻性胆囊炎患者25例，行腹腔镜下超声刀胆囊切除术，分析临床诊疗结果。结果：手术操作平均时间(78.5±25.2)min，平均(6.4±0.2)d后患者腹部疼痛症状均消失，体温及白细胞数量均于术后(2.4±0.6)d恢复正常，术后引流管放置(5.2±0.7)d，引流量(125.5±22.8)mL。术后所有患者均未出现感染、出血、胆漏等严重并发症，且无结石残留及手术区域积液等不良症状。结论：应用超声刀胆囊切除术治疗急性结石性梗阻性胆囊炎疗效和预后效果均较为显著。
목적：탐토재불박리담낭상、불해부담낭삼각적전제하，응용초성도대급성결석성경조성담낭염환자진행담낭절제술적가행성。방법：수치급성결석성경조성담낭염환자25례，행복강경하초성도담낭절제술，분석림상진료결과。결과：수술조작평균시간(78.5±25.2)min，평균(6.4±0.2)d후환자복부동통증상균소실，체온급백세포수량균우술후(2.4±0.6)d회복정상，술후인류관방치(5.2±0.7)d，인류량(125.5±22.8)mL。술후소유환자균미출현감염、출혈、담루등엄중병발증，차무결석잔류급수술구역적액등불량증상。결론：응용초성도담낭절제술치료급성결석성경조성담낭염료효화예후효과균교위현저。
Objective:To discuss Without peeling the gallbladder bed,not dissect the gallbladder triangle premise,the feasibility of ultrasonic knife in patients with acute cholecystitis obstructive conduct cholecystectomy.Methods:25 patients with obstructive acute calculus cholecystitis were selected.They were given laparoscopy ultrasonic scalpel cholecystectomy.We analyzed clinical results.Results:The average operative time was (78.5±25.2)min,average(6.4±0.2)d after the symptoms disappeared in patients with abdominal pain.Body temperature and white blood cell count were postoperatively(2.4 ± 0.6)d returned to normal, postoperative drainage tube placement(5.2 ± 0.7)d,drainage(125.5 ± 22.8)mL.All patients had no serious complication of infection,bleeding,bile leak,and no residual stones and surgical area effusions and other adverse symptoms.Conclusion: The efficacy and prognosis in the treatment with ultrasonic knife for acute obstructive calculus cholecystitis are more significant.