腹腔镜治疗282例急性胆囊炎临床分析.doc

腹腔镜治疗282例急性胆囊炎临床分析.doc腹腔镜治疗282例急性胆囊炎临床分析
作者：陈文华 作者单位：江苏省丹阳市第二人民医院肝胆外科 丹
阳 212300
【摘要】目的：探讨腹腔镜治疗急性胆囊炎的可行性、注意事 项及相关的并发症和手术时机的选择。方法：全麻或连硬麻醉下和二 氧化碳气腹状态下，282例行LC术，其中起病72h内176例，72h 后106例，比较其并发症的发生率。结果：术后并发症的发生率与手 术时机的选择有显著相关性及并发症原因分析。结论：腹腔镜治疗急 性胆囊炎存在一定的并发症的发生，应慎重选择。
【关键词】 腹腔镜急性胆囊炎
Laparoscope Cholecysitectomy for Acute Cholecystitis A Report of 282 Cases
Chen Wenhua
(The Second People' s Hospital of Danyang, Danyang
212300)Abstract Objective: To investigate the
operability,attention ,correlative complications and the selection of operation time of laparoscope cholecystectomy for acute
cholecystitis .Methods: The clinical data of 282 patients undergoning laparoscope cholecystectomy were reserved general anesthesia or continuous epidural anesthesia and with carbon dioxide pneumascos,among 282 patients, 176cases were invasionde in 72
hours, 106 cases wered invasioned after 72 then the incidence of complications wes : The incidence of postoperative complications had obvious correlation with the operative time.
Conclusion: laparoscope cholecystectomy for acute cholectstitis had some should be chosen cautionly.
Key words laparoscope; acute cholecystitis; complication
1临床资料和方法
我院对2001年〜2006年急性胆囊炎及慢性胆囊炎急性发作 病例共282例，在全麻或连硬麻醉下和二氧化碳气腹状态下行腹腔镜 胆囊切除术，其中男114例，女168例，年龄25〜70岁。按照手术时 患者的发病时间分为两组，其中早期手术组176例，起病72h内行 LC术；晚期手术组106例，起病72h后行LC术。患者胆囊切除术 后