论文部分内容阅读
目的对80例急性结石性胆囊炎患者的临床手术治疗情况和结果进行比较观察。方法 80例行手术治疗的急性结石性胆囊炎(无合并肝内外结石)患者,根据抽签法将其随机分为对照组(实施直接胆囊切除手术)及观察组(实施B超引导下胆囊造瘘术后隔月行胆囊切除术),各40例。对比两组患者的手术时间、术中出血量、症状缓解时间、胃肠功能恢复时间、视觉模拟评分法(VAS)评分、并发症情况及临床疗效。结果观察组患者的手术时间、术中出血量、症状缓解时间、胃肠功能恢复时间、VAS评分均优于对照组,差异均具有统计学意义(t=15.72673、18.92455、7.14859、8.96481、24.46145,P<0.05)。观察组并发症发生率为10.00%,低于对照组的37.50%,差异具有统计学意义(χ~2=8.35203,P<0.05)。观察组有效率97.50%高于对照组80.00%,差异具有统计学意义(χ~2=6.13459,P<0.05)。结论急性结石性胆囊炎通过胆囊造瘘术后隔月行胆囊切除术治疗,其在手术出血量、症状缓解、并发症以及治疗效果方面均明显优于直接胆囊切除术,值得推广。
Objective To compare 80 cases of patients with acute calcific cholecystitis with surgical treatment and results. Methods Eighty patients with acute calcific cholecystitis (without extra-heparous calculus) underwent surgical treatment and were randomly divided into control group (direct cholecystectomy) and observation group (B-guided cholecystostomy) Postoperative laparoscopic cholecystectomy), each 40 cases. The operation time, intraoperative blood loss, symptom relief time, gastrointestinal function recovery time, visual analogue scale (VAS) score, complications and clinical efficacy were compared between the two groups. Results The operation time, intraoperative blood loss, symptom relief time, gastrointestinal function recovery time and VAS score in the observation group were all better than those in the control group, the differences were statistically significant (t = 15.72673,18.92455,7.14859,8.96481,24.46145, P <0.05). The incidence of complications in the observation group was 10.00%, which was lower than that in the control group (37.50%). The difference was statistically significant (χ ~ 2 = 8.35203, P <0.05). The effective rate of the observation group was 97.50% higher than that of the control group (80.00%), the difference was statistically significant (χ ~ 2 = 6.13459, P <0.05). Conclusions Acute calculous cholecystitis is treated by cholecystectomy every other month after cholecystostomy. It is superior to direct cholecystectomy in terms of the amount of bleeding, symptom relief, complications and curative effect, which is worth popularizing.