世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
55期
10-10,12
,共2页
急性胆囊炎%开腹%取石保胆术%胆囊切除术%疗效对比
急性膽囊炎%開腹%取石保膽術%膽囊切除術%療效對比
급성담낭염%개복%취석보담술%담낭절제술%료효대비
Acute cholecystitis%Abdominal operation%Maintaining gallbladder by take stone%Cholecystectomy%Curative effect comparison
目的：研究急性胆囊炎合并胆结石患者分别使用开腹取石保胆术以及开腹胆囊切除术治疗的临床效果。方法临床纳入116例我院2012年8月至2014年8月期间收治的急性胆囊炎合并胆结石患者，所有患者按随机数字表法分为两组各58例。其中58例患者采用开腹胆囊切除术治疗作为对照组，另58例患者采用开腹取石保胆术进行治疗作为观察组。结果观察组手术时间、出血量、肛门排气时间、下床时间以及住院时间等均优于对照组，P＜0.05；观察组、对照组不良反应发生率分别为5.17%、18.97%，观察组明显较低，P＜0.05。结论开腹取石保胆术对于急性胆囊炎合并胆结石患者治疗效果显著，手术时间短、出血量少、术后恢复好，且并发症明显较少，促进患者预后，值得临床应用及推广。
目的：研究急性膽囊炎閤併膽結石患者分彆使用開腹取石保膽術以及開腹膽囊切除術治療的臨床效果。方法臨床納入116例我院2012年8月至2014年8月期間收治的急性膽囊炎閤併膽結石患者，所有患者按隨機數字錶法分為兩組各58例。其中58例患者採用開腹膽囊切除術治療作為對照組，另58例患者採用開腹取石保膽術進行治療作為觀察組。結果觀察組手術時間、齣血量、肛門排氣時間、下床時間以及住院時間等均優于對照組，P＜0.05；觀察組、對照組不良反應髮生率分彆為5.17%、18.97%，觀察組明顯較低，P＜0.05。結論開腹取石保膽術對于急性膽囊炎閤併膽結石患者治療效果顯著，手術時間短、齣血量少、術後恢複好，且併髮癥明顯較少，促進患者預後，值得臨床應用及推廣。
목적：연구급성담낭염합병담결석환자분별사용개복취석보담술이급개복담낭절제술치료적림상효과。방법림상납입116례아원2012년8월지2014년8월기간수치적급성담낭염합병담결석환자，소유환자안수궤수자표법분위량조각58례。기중58례환자채용개복담낭절제술치료작위대조조，령58례환자채용개복취석보담술진행치료작위관찰조。결과관찰조수술시간、출혈량、항문배기시간、하상시간이급주원시간등균우우대조조，P＜0.05；관찰조、대조조불량반응발생솔분별위5.17%、18.97%，관찰조명현교저，P＜0.05。결론개복취석보담술대우급성담낭염합병담결석환자치료효과현저，수술시간단、출혈량소、술후회복호，차병발증명현교소，촉진환자예후，치득림상응용급추엄。
Objective To study clinical effect of treating acute cholecystitis with gallstone by maintaining gallbladder and taking stones and cholecystectomy by abdominal operation.Method 116 cases with acute cholecystitis with gallstones were received in out hospital during August, 2012 and August, 2014, divide them into two groups according to random table method. Among which, 58 cases of control group were treated with abdominal operation, and rest 58 cases of observation group with maintaining gallbladder and taking stones.Result patients in observation group with operation time, bleeding volume, anal exhaust time, time out of bed and hospitalization time have better result than control group,P<0.05; occurring rate of adverse reaction of observation and control group is 5.17%, 18.97% respectively, and that of observation group is significantly lower,P<0.05.Conclusion maintaining gallbladder and taking stones shows significant treatment effect for acute cholecystitis with gallstones with short operation time, less bleeding amount, recovery after operation, and with less complications. It promotes prognosis of patients, and is worthy of being clinically applied and spreaded.
