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1、腹腔镜胆囊切除术与开腹手术治疗急性结石嵌顿性胆囊炎临床分析周捷(长沙市三医院普外科410000)【屮图分类号】R675.4【文献标识码］A【文章编号】1672-5085(2012)26-0150-02【摘要】口的探讨腹腔镜胆囊切除术(LC)与传统开腹手术(OC)治疗急性结石嵌顿性胆囊炎的优劣。方法回顾性分析2007年11月至2010年11月，在我院行手术治疗的143例急性结石嵌顿性胆囊炎患者的临床资料。其屮腹腔镜胆囊切除术(LC)组83例，传统开腹手术组(OC)60例，观察并比较两组的手术时间、术屮出血量、下床活动时间、胃肠道功能恢复时
2、间、术后住院天数和术后并发症的发生率，对结果进行统计学分析。结果73例顺利完成腹腔镜胆囊切除术，10例中转开腹，中转率13.7%；60例行开腹手术。LC与OC相比术中出血量、下床活动时间、胃肠道功能恢复时间、术后住院天数和术后并发症的发生率差异具有统计学意义(P<0.05)结论腹腔镜手术是治疗急性结石嵌顿性胆囊炎的有效手术方式与传统开腹手术相比，具有创伤小，术后恢复快，住院时间短，术后并发症少等优点，但对于复杂病例应及时行开腹手术治疗。【关键词】腹腔镜胆囊切除术开腹手术急性结右嵌顿性胆囊炎Laparoscopiccholecyst
3、ectomyversusopensurgeryforacutecalculuscholecystitisclinicalanalysisofincarcerated[Abstract]Objectivelaparoscopiccholecystectomy(LC)withtraditionalopensurgery(OC)treatmentofacutecholecystitiscalculusincarceratedmerits.MethodsAretrospectiveanalysisfromNovember2007toNovemb
4、er2010,Surgicaltreatmentinourhospital143casesofacutecholecystitisinpatientswithincarceratedstonesclinicaldata.Whichlaparoscopiccholecystectomy(LC)groupof83patients,traditionalopensurgerygroup(OC)60caseswereobservedandcomparedtwogroupsofoperativetime,blOOdlOss,timetoambul
5、ation,timetorecoveryofgastrointestinalfunction,postoperativehospitalstayandpostoperativecomplicationrate,andtheresultswerestatisticallyanalyzed.Resultsof73casesofsuccessfulcompletionoflaparoscopiccholecystectomy,10wereconvertedtolaparotomy,transferrateof13.7%；60routineab
6、dominalsurgery.LCandOCcomparedtotheblOOd10ss,timetoambulation,timetorecoveryofgastrointestinalfunction,postoperativehospitalstayandtheincideneeofpostoperativecomplicationswasstatisticallysignificantdifference(P<0.05)Conclusionabdominalsurgeryisthetreatmentofacutechole
7、cystitiscalculusincarceratedeffectivesurgicalapproachcomparedwithtraditionalopensurgery,withlesstrauma,fasterrecovery,shorterhospitalstay,fewercomplications,etc,butforcomplexcasesshouldbepromptlyunderwentopensurgery・【Keywords］laparoscopiccholecystectomyabdominalsurgeryac
8、utecalculuscholecystitisincarcerated急性胆囊炎是一种较为常见的胆囊疾病之一，是由结石嵌顿、胆囊管梗阻、囊壁血液循环障碍等多种因素综合作用而而引起的急性炎症［1］。结石嵌顿
