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目的:运用中西医结合的手段,调整急性胆石性胆囊炎的手术时机。方法:前瞻性分析2005.3～2008.2间105例急性胆石性胆囊炎病人在围手术期通过中西医治疗的临床观察。结果:治疗组105例均由急诊转为择期手术,100例行小切口胆囊切除术,其中5例加做胆总管切开取石T管引流术,5例行LC;待手术时间平均4.70天,术后住院天数平均7.73天,平均住院天数13.43天。同期对照组102例,98例行小切口胆囊切除术,其中7例加做胆总管切开取石T管引流术,4例行LC。待手术时间平均8.93天,术后住院天数平均7.89天,平均住院天数17.82天。结论:中西医结合治疗能调整手术时机,在调整机体免疫力,减轻并发症,降低病死率,减少再手术率,促进机体的健康和提高治疗率等方面有积极意义,尤其在缩短病程方面更为突出,还能基本满足微创外科(腹腔镜手术)以及小切口胆囊切除对局部解剖的高要求。
Objective: To use the combination of Chinese and Western medicine to adjust the timing of acute gallstone cholecystitis surgery. Methods: Prospective analysis of 105 cases of acute cholecystitis in patients with gallstone cholecystitis during 2005.3 ~ 2008.2 in the perioperative period through the treatment of Chinese and Western medicine. Results: All the 105 cases in the treatment group were switched from emergency to elective operation, and 100 cases underwent small incision cholecystectomy. Among them, 5 cases underwent choledocholithotomy with T tube drainage and 5 cases underwent LC. The average duration of operation was 4.70 days, The average postoperative hospital stay was 7.73 days and the average length of stay was 13.43 days. 102 cases of the control group, 98 cases of small incision cholecystectomy, including 7 cases of choledocholithotomy with T tube drainage, 4 cases of LC. The average duration of operation was 8.93 days, the average length of postoperative hospital stay was 7.89 days and the average length of hospital stay was 17.82 days. Conclusion: Integrative Medicine can adjust the timing of operation, which has positive significance in adjusting immunity, reducing complications, reducing mortality, reducing re-operation rate, promoting body health and improving treatment rate, especially in shortening the course of disease To highlight, but also basically meet the minimally invasive surgery (laparoscopic surgery) and small incision cholecystectomy on the local anatomy of the high demand.