| 摘要: |
| 目的：探讨急性轻型胆源性胰腺炎患者实施早期腹腔镜微创胆囊切除治疗的疗效。方法：本次研究对象为 2010年 1 月—2018 年 3 月期间收治的 82 例急性轻型胆源性胰腺炎患者，分别为观察组和对照组，各 41 例。给予观察组患者行早期（首次住院时间内，一般为住院 3 至 5 天后）腹腔镜微创胆囊切除术，给予对照组患者行延期（炎症控制后 2 至 3 月， 无胆囊炎或胰腺炎复发）腹腔镜微创胆囊切除术，比较观察两组患者手术时间、术后肛门排气时间、术后并发症的发生率、住院时间和费用以及术后病情复发情况。结果：两组患者在术后均无病情复发的情况发生；观察组患者手术中使用的时间、术后肝门排气时间、术后并发症的发生率较对照组无明显差异，无统计学意义（P>0.05）；观察组患者的住院时间与住院费用显著较对照组低，数据差异具有统计学意义（P<0.05）。结论：合并急性轻型胆源性胰腺炎的胆囊结石患者实施早期腹腔镜微创胆囊切除术治疗能有效减少住院时间和费用，并减少患者在等待手术过程中所带来的胰腺炎复发隐患，具有临床治 疗意义。 |
| 关键词: 急性轻型胆源性胰腺炎 腹腔镜微创 胆囊切除术 |
| DOI：10.3969/j.issn.1007-6948.2019.04.040 |
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| 基金项目: |
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| Early Minimally Invasive Cholecystectomy in treatment of Gallstones with Acute Mild Biliary Pancreatitis |
| LIU Yong-he |
| Hepatobiliary Surgery Department, People' s Hospital of Jizhou District, Tianjin (301900), China |
| Abstract: |
| Objective To investigate the effect of early laparoscopic minimally cholecystectomy in treatment of acute mild biliary pancreatitis. Methods Totally 82 patients with acute mild biliary pancreatitis from January 2010 to March 2018 were divided into observation group and control group, 41 cases in each group. The observation group were given early laparoscopic minimally invasive cholecystectomy ( 3 to 5 d after first hospitalization), while the control group were given delayed laparoscopic minimally invasive cholecystectomy ( 2 to 3 months after inflammation control, no cholecystitis or pancreatitis recurrence). The operation time and anal exhaust time after operation were compared between the two groups. The incidence of complications, hospitalization time and cost, and recurrence of the disease after operation were compared and observed. Results There was no recurrence after operation in both groups. There was no signi?cant difference in the time of operation, the time of hepatic portal exhaust and the incidence of complications between observation group and control group (P > 0 . 05 ). The hospitalization time and hospitalization expenses of the observation group were significantly lower than those of the control group. The difference was statistically significant (P <0.05). Conclusion Early laparoscopic minimally invasive cholecystectomy for gallstone patients with acute mild biliary pancreatitis can effectively reduce hospital stay and cost, and reduce the potential recurrence of pancreatitis in patients waiting for surgery, which is of clinical signi?cance. |
| Key words: Acute mild biliary pancreatitis laparoscopic minimally invasive cholecystectomy |
