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目的探讨胆囊常规切除治疗急性胆囊炎的临床治疗效果。方法选择本院2007年4月至2009年4月急性胆囊炎行胆囊切除术患者47例,对其临床资料进行回顾性总结分析。结果本组患者手术时间平均为(75±28)min,手术出血量平均为(85±37)ml;其中36例放置腹腔引流管;引流量平均为(112±40)ml;术后住院天数平均为(7.5±3.8)d。术后未发生一例严重并发症。伤口愈合情况:甲级愈合38例,乙级愈合7例,丙级愈合2例。本组无手术死亡病例。结论对于急性胆囊炎的治疗首先要把握好手术时机,根据患者情况尽可能早期手术,是提高急性胆囊炎治疗效果的关键。
Objective To investigate the clinical effect of conventional cholecystectomy for acute cholecystitis. Methods Forty-seven cases of cholecystectomy in our hospital from April 2007 to April 2009 were retrospectively analyzed. Results The mean operative time was (75 ± 28) min and the average amount of bleeding during operation was (85 ± 37) ml. Among them, 36 patients had peritoneal drainage tube and the mean drainage volume was (112 ± 40) ml. The postoperative hospital stay The average was (7.5 ± 3.8) d. No serious postoperative complications occurred. Wound healing: Class A healed 38 cases, B healed 7 cases, C healed 2 cases. This group of non-operative deaths. Conclusion The treatment of acute cholecystitis must first grasp the timing of surgery, according to the patient as early as possible surgery is to improve the treatment of acute cholecystitis key.