急性结石性梗阻性胆囊炎胆囊切除.docVIP

急性结石性梗阻性胆囊炎的胆囊切除 王新杰 （江西省吉水县人民医院外二科 江西吉水 331600） 【摘要】目的：探究分析对急性结石性梗阻性胆囊炎患者急诊腹腔镜胆囊切除治疗方法的临床效果。方法：对我院2006年-2012年收治的急性结石性梗阻性胆囊炎患者接受腹腔镜胆囊切除手术治疗患者共40例，对其临床资料以回顾性的方法进行分析，归纳总结手术临床治疗经验。结果：所有患者接受超声刀一期切除胆囊手术治疗且均顺利完成。患者术后疼痛改善显著，3天内体征及白细胞均恢复正常。术后无感染、胆漏等并发症发生；随访1-3年无结石复发以及胆囊切除术后综合征等不良反应。结论：对急性结石性梗阻性胆囊炎患者使用超声刀进行治疗，其治疗以及预后效果较为显著，值得临床推广。 【关键词】急性结石性;梗阻性;胆囊炎;胆囊切除 Acute calculous obstructive cholecystitis cholecystectomy Wang Xinjie (Two Department of Jishui Peoples Hospital of Jiangxi Province Jiangxi Jishui Objective: To explore the clinical effect of resection of acute calculous obstructive cholecystitis patients undergoing laparoscopic cholecystectomy. Methods: in our hospital in 2006 -2012 years were admitted for acute calculous obstructive cholecystitis patients undergoing laparoscopic cholecystectomy operation in treatment of patients with a total of 40 cases, and the clinical data were retrospective analysis, summarizes the operation of clinical treatment and nursing experience. Results: all patients underwent ultrasound knife resection of gallbladder operation treatment and were successfully completed. To improve the postoperative pain was significantly, 3 days signs and white blood cells were normal. No infection, postoperative complications such as biliary fistula; 1-3 years follow-up without recurrence of cholecystolithiasis and cholecystectomy syndrome and other adverse reactions. Conclusion: the acute calculous obstructive cholecystitis patients using ultrasound knife treatment, the treatment and prognosis effect is significant, worthy of clinical application. Key words：acute calculous; obstructive; cholecystitis; cholecystectomy 急性结石性梗阻性胆囊炎在临床是一种重症肝胆外科急腹症之一，如果不对其进行及时处理，会导致患者受到感染，甚至危及到患者的生命健康，有较高的致死率[1]。急性结石性梗阻性胆囊炎一旦受到感染，就会导致第一肝门、胆囊以及胆囊壁出现严重水肿、充血，在胆囊切除时必须谨慎。通过对胆囊炎患者进行及时的手术治疗，并切除胆囊，能够解除梗阻的症状，改善患者的病情，使患者恢复健康[2]。我院自2006年使用超声刀一期切除胆囊手术对患者进行治疗，取得了良好的治疗效果。现总结如下。 1 资料与方法 1.1一般资料 我院2006年-2012年收治的急性结石性梗阻性胆囊炎患者接受腹腔镜胆囊切除手术治疗患者40例。男女比例为12：28；年龄为42～81岁，平均年龄为68.4岁。患者发