腹腔镜治疗早期急性胆囊炎与慢性胆囊炎的疗效比较
腹腔镜；胆囊切除术；胆囊炎,,腹腔镜；胆囊切除术；胆囊炎,1资料与方法,2结果,3讨论,4小结,参考文献：
【摘要】 目的：探讨腹腔镜胆囊切除术治疗早期急性胆囊炎的手术疗效。方法：回顾性分析我院2004年1月至2006年2月间收治的51例行腹腔镜手术的早期急性胆囊炎病例，231例慢性胆囊炎病例，比较两组间各项临床资料。结果：早期急性胆囊炎组和慢性胆囊炎手术组的中转开腹率分别是1.96%和1.73%，无显著性差异，两组均未出现严重并发症。结论：急性胆囊炎自发病起48小时内早期施行腹腔镜，中转开腹率极低，手术安全可靠，可将腹腔镜手术治疗作为早期急性胆囊炎的常规治疗手段。【关键词】 腹腔镜；胆囊切除术；胆囊炎
Comparative study of laparoscopic cholecystectomy for early acute cholecystitis and chronic cholecystitis
Zhu Sheng, Yu Qiang, YANG Haohua
Department of laparoscopic surgery,Changzhou No.2 People’s Hospital,Changzhou,Jiangsu 213000, P.R.China
【Abstract】 Objective:To explore the efficacy of laparoscopic cholecystectomy(LC) for early acute cholecystitis. Methods:The clinical data of 51 cases of early acute cholecystitis and 231 cases of chronic cholecystitis were retrospectively analyzed.Results:Comparing the two groups, the conversion rates to an open procedure were 1.96% in early acute cholecystitis group and 1.73% in chronic cholecystitis group, there is no statistical difference, serious operation complications didn′t occur. Conclusions:LC is a safe and effective technique for treatment of early acute cholecystitis.Patients treated within 48 hours of onset of symptoms experience a lower conversion rate to an open procedure. ......
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