腹腔镜手术治疗早期急性胆囊炎与慢性胆囊炎的疗效比较
胆囊切除术,腹腔镜；胆囊炎,,胆囊切除术,腹腔镜；胆囊炎,1资料与方法,2结果,3讨论,参考文献：
【摘要】 目的：探讨腹腔镜胆囊切除术(LC)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48h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】 胆囊切除术,腹腔镜；胆囊炎
Comparative study of laparoscopic cholecystectomy for early acute cholecystitis and chronic cholecystitis
ZHU Sheng,YU Qiang,YANG Haohua.
Dept.of Laparoscopic Surgery,Changzhou No.2 People's Hospital,Changzhou 213000,China
【Abstract】 Objective:To explore the efficacy of laparoscopic cholecystectomy(LC) for early acute cholecystitis.Methods:A retrospectively analysis was made on 51 cases of early acute cholecystitis and 231 cases of chronic cholecystitis.Results:The conversion rate to an open procedure was 1.96% in early acute cholecystitis group and 1.73% in chronic cholecystitis group,comparing the two groups,there is no statistical difference,and there is no serious operation complication.Conclusions:LC is a safe and effective technique for the treatment of early acute cholecystitis.Patients who are treated within 48 hours of onset of symptoms will experience a lower conversion rate to an open procedure. ......
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