CAJ | 학술논문

目的：探讨分析急性结石梗阻性胆囊炎患者行经皮胆囊穿刺引流联合腹腔镜胆囊切除术的治疗效果。方法选取该院自2011年12月—2013年1月期间，住院部收治的急性结石梗阻性胆囊炎患者共计50例作为研究对象，按照计算机随机方法分组为对照组，研究组，每组患者各计25例。对照组患者直接给予腹腔镜胆囊切除术进行治疗，研究组患者在行经皮胆囊穿刺引流术后再给予腹腔镜胆囊切除术进行治疗。对两组患者的腹腔镜手术成功率、平均住院时间、术后并发症发生率进行综合对比与分析。结果对照组25例患者中，20例患者腹腔镜手术取得成功，手术成功率为80.00％，研究组25例患者中，25例患者腹腔镜手术取得成功，手术成功率为100.00％，研究组腹腔镜手术成功率明显高于对照组；研究组患者住院时间明显短于对照组；研究组患者平均术中出血量明显低于对照组；研究组术后并发症发生率明显低于对照组；以上数据对比存差异有统计学意义（P＜0.05）。结论急性结石梗阻性胆囊炎患者应用经皮胆囊穿刺引流联合腹腔镜胆囊切除术进行干预具有安全、有效的优势，可早期控制胆道炎症，降低胆道压力，提高腹腔镜手术的成功率、降低术后并发症发生率，提高患者预后水平，值得临床应用。
목적：탐토분석급성결석경조성담낭염환자행경피담낭천자인류연합복강경담낭절제술적치료효과。방법선취해원자2011년12월—2013년1월기간，주원부수치적급성결석경조성담낭염환자공계50례작위연구대상，안조계산궤수궤방법분조위대조조，연구조，매조환자각계25례。대조조환자직접급여복강경담낭절제술진행치료，연구조환자재행경피담낭천자인류술후재급여복강경담낭절제술진행치료。대량조환자적복강경수술성공솔、평균주원시간、술후병발증발생솔진행종합대비여분석。결과대조조25례환자중，20례환자복강경수술취득성공，수술성공솔위80.00％，연구조25례환자중，25례환자복강경수술취득성공，수술성공솔위100.00％，연구조복강경수술성공솔명현고우대조조；연구조환자주원시간명현단우대조조；연구조환자평균술중출혈량명현저우대조조；연구조술후병발증발생솔명현저우대조조；이상수거대비존차이유통계학의의（P＜0.05）。결론급성결석경조성담낭염환자응용경피담낭천자인류연합복강경담낭절제술진행간예구유안전、유효적우세，가조기공제담도염증，강저담도압력，제고복강경수술적성공솔、강저술후병발증발생솔，제고환자예후수평，치득림상응용。
Objective To investigate the treatment effect of percutaneous drainage of gallbladder combined with laparoscopic cholecystectomy in the treatment of acute calculous obstructive cholecystitis. Methods 50 cases of patients with acute calculous obstructive cholecystitis admitted in our hospital from December, 2011 to January, 2013 were selected as the subjects, and they were divided into the control group and the study group according to the computer random method with 25 cases in each. Patients in the control group were given laparoscopic cholecystectomy, and patients in the study group were given laparoscopic cholecystec-tomy after percutaneous drainage of gallbladder. The success rate of laparoscopic operation, the average length of stay, the inci-dence of postoperative complications of two groups were compared and analyzed. Results Of the 25 patients in the control group, the laparoscopic operation of 20 patients were successful, the success rate of operation was 80%. Of the 25 patients in the study group, the laparoscopic operation of the 25 patients were successful, the success rate of operation was 100.00%. The laparoscopic operation success rate of the study group was significantly higher than that of the control group; the hospitalization time was much shorter than that of the control group; the average amount of bleeding during operation of the study group was significantly less than that of the control group;the incidence of postoperative complications was obviously lower than that of the control group;there were statistically significant differences in the above data(P<0.05). Conclusion Percutaneous drainage of gallbladder combined with laparoscopic cholecystectomy for acute calculous obstructive cholecystitis has the advantages of safety and effectiveness, which can control the inflammation of biliary tract, reduce the biliary tract pressure, improve the success rate of laparoscopic cholecystectomy, reduce the incidence of postoperative complications and improve the prognosis, and is worthy of clinical application.