刮吸法腹腔镜胆囊切除术治疗急性胆囊炎278例治疗剖析.docVIP

刮吸法腹腔镜胆囊切除术治疗急性胆囊炎278例治疗剖析 　　[摘要] 目的 分析刮吸法腹腔?R胆囊切除术治疗急性胆囊炎的治疗价值。方法 回顾性分析2012年1月―2016年8月期间在该院接受治疗的278例急性胆囊炎患者资料，将患者分为常规组与刮吸组，每组均为139例患者。为所有患者实施腹腔镜胆囊切除术，刮吸组术中应用刮吸器进行治疗，记录患者的手术治疗效果。结果 刮吸组139例患者中，手术成功138例，由于术中出血而中转开腹治疗1例，治疗成功率为99.28%。常规组手术成功133例，术中出血中转开腹6例，治疗成功率为94.11%。在两组患者的手术治疗指征对比方面，刮吸组患者的平均手术时间为（125.65±30.32）min，术中平均出血量为（114.53±31.23）mL，术后平均下床时间为（17.03±3.45）d，均优于常规组患者（P0.05）。结论 刮吸法腹腔镜胆囊切除术治疗急性胆囊炎的效果比较突出，能够有效缓解患者的临床症状，同时临床治疗的有效率相对较高，患者术后康复时间较短，对患者生活质量的提升能够产生积极的影响，建议广泛推广。 　　[关键词] 刮吸法；腹腔镜胆囊切除术；急性胆囊炎 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2017）01（c）-0083-03 　　Analysis of Laparoscopic Cholecystectomy Surgery by the Curettage and Suction in Treatment of 278 Cases of Patients with Acute Cholecystitis 　　WANG Zhao-jiang， LI Hao， LIU Li-ming 　　Department of General Surgery， Fenggang People’s Hospital， Zunyi， Guizhou Province， 564200 China 　　[Abstract] Objective To analyze the value of laparoscopic cholecystectomy surgery by the curettage and suction in treatment with acute cholecystitis. Methods 278 cases of patients with acute cholecystitis treated in our hospital from January 2012 to August 2016 were retrospectively analyzed， and divided into two groups with 139 cases in each， all patients were given the laparoscopic cholecystectomy surgery， the Curettage and suction group were treated with Curettage and suction device in operation， and the operative treatment effect of patients was recorded. Results In the 139 cases of patients in the Curettage and suction group， the operation of 138 cases was successful， and 1 case was given the conversion to laparotomy treatment due to the bleeding in operation and the treatment success rate was 99.28%， and the operation of 133 cases was successful in the routine group， and 6 cases were given the conversion to laparotomy treatment due to the bleeding in operation， and the treatment success rate was 94.11%， and the average operative time and average bleeding amount in operation and average time of getting out of bed in operation