CAJ | 학술논문

目的：探讨不同手术时机对急性结石性胆囊炎腹腔镜手术临床疗效的影响。方法选取腹腔镜手术治疗的急性结石性胆囊炎患者100例，随机分为对照组和观察组。观察组在发作期进行手术，对照组在静止期进行手术，比较两组临床疗效。结果观察组较对照组手术时间更短、患者术中失血量更少、术中转开腹比率更低（P＜0．05）。观察组较对照组住院总时间更短、住院总费用更低（P＜0．05）。结论对胆囊结石伴急性胆囊炎患者选择发作期进行腹腔镜手术治疗具有术程短、不增加术中出血量、术中转开腹率和术后并发症的发生，更加经济有效，值得临床推广使用。
목적：탐토불동수술시궤대급성결석성담낭염복강경수술림상료효적영향。방법선취복강경수술치료적급성결석성담낭염환자100례，수궤분위대조조화관찰조。관찰조재발작기진행수술，대조조재정지기진행수술，비교량조림상료효。결과관찰조교대조조수술시간경단、환자술중실혈량경소、술중전개복비솔경저（P＜0．05）。관찰조교대조조주원총시간경단、주원총비용경저（P＜0．05）。결론대담낭결석반급성담낭염환자선택발작기진행복강경수술치료구유술정단、불증가술중출혈량、술중전개복솔화술후병발증적발생，경가경제유효，치득림상추엄사용。
Objective To explore the influence of different timing of laparoscopic operation on the clinical effi‐cacy in the patients with acute calculous cholecystitis .Methods 100 cases of acute calculous cholecystitis treated by laparoscopic operation in our hospital were selected and divided into the control group and the observation group ,50 cases in each group .The observation group was perfromed the operation during the onset period ,while the control group was conducted the operation during the stational period .The clinical efficacies were compared between the two groups .Results The observation group had shorter operation time ,less intraoperative blood loss and lower rate con‐verting to open operation than the control group ,the differences were statistically significant(P< 0 .05) ;moreover the observation group had shorter total hospitalization time and the total cost ,the differences were statistically significant (P< 0 .05) .Conclusion Selecting laparoscopic operation during the onset period has shorter operation time without increasing intraoperative blood loss ,open operation conversion rate and postoperative complication occurrence ,is more economical and effective ,and deserves to be promoted and applied in clinic .