CAJ | 학술논문

目的为了进一步确定用腹腔镜胆囊摘除(LC)的方法治疗急性结实性胆囊炎的临床疗效.方法对进入本院治疗的62例急性结实性胆囊炎患者的病例资料进行总结分析,根据患者自主选择的治疗方法分为两组：LC术的治疗组38例,非手术法治疗的对照组24例,治疗后半年内进行随访,统计结石复发例数,计算治疗有效率,统计学t检验结果表明两组患者治疗结果的显著差异性.结果治疗组痊愈35例,2例术中中转开腹胆囊摘除术,1例随访胆囊管残余结石复发,无一例胆道损伤,治疗有效率92.1%,对照组18例非手术治疗后好转,建议3个月后手术治疗,6例保守治疗中病情加重转开腹胆囊摘除术,治疗有效率62.5%,统计学检验结果表明两组治疗方法的治疗有效率具有显著性差异(P<0.05).结论腹腔镜胆囊摘除术治疗急性结实性胆囊炎具有满意的临床疗效.
목적위료진일보학정용복강경담낭적제(LC)적방법치료급성결실성담낭염적림상료효.방법대진입본원치료적62례급성결실성담낭염환자적병례자료진행총결분석,근거환자자주선택적치료방법분위량조：LC술적치료조38례,비수술법치료적대조조24례,치료후반년내진행수방,통계결석복발례수,계산치료유효솔,통계학t검험결과표명량조환자치료결과적현저차이성.결과치료조전유35례,2례술중중전개복담낭적제술,1례수방담낭관잔여결석복발,무일례담도손상,치료유효솔92.1%,대조조18례비수술치료후호전,건의3개월후수술치료,6례보수치료중병정가중전개복담낭적제술,치료유효솔62.5%,통계학검험결과표명량조치료방법적치료유효솔구유현저성차이(P<0.05).결론복강경담낭적제술치료급성결실성담낭염구유만의적림상료효.
objective: In order to further define the LC effect of spontaneous omental hemorrhage. Methods: to the treatment of 62 cases of acute strong sexual cholecystitis cases of patients with data analysis, according to patients with independently choose classified into two groups: LC group of 38 cases, nonsurgical treatments for a control group of 24 cases, t test statistics results show the difference of the results of the treatment. Results: treatment group healed 35 patients, therapy was 92.1%, and the control group healed in 15 cases, 9 cases after half an year B to exceed check recurrence of stones, therapy was 62.5%, statistics the results show that two groups of treatment therapy was significant difference (P <0.05). Conclusions: LC has a great treatment results.