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目的探讨急性结石性胆囊炎急诊手术的可能性和安全性。方法把110例急性结石性胆囊炎急诊手术分为早期手术组(组Ⅰ,n=51)、延期手术组(组Ⅱ,n=36)和晚期手术组(组Ⅲ,n=23),对手术时间、手术难度、并发症、病死率和治疗结果进行比较分析。结果住院天数和病死率,组Ⅲ高于组Ⅰ和组Ⅱ(P<0.05);组Ⅰ,组Ⅱ治愈率、治疗结果明显优于组Ⅲ(P<0.05)。结论急性结石性胆囊炎患者应尽早进行手术,而不应拖延直至晚期才行手术。急性结石性胆囊炎应在7d内行胆囊切除术,以保证术后的恢复。若时间>7d,则应先药物治疗,病情稳定后则在7周左右视情况选择手术。
Objective To investigate the possibility and safety of emergency operation for acute calculous cholecystitis. Methods One hundred and ten patients with acute calcific cholecystitis were divided into three groups: the early operation group (group Ⅰ, n = 51), the delayed operation group (group Ⅱ, n = 36) and the late operation group (group Ⅲ, n = 23) Operative time, surgical difficulty, complications, mortality and treatment results were compared. Results The days of hospitalization and mortality were higher in group Ⅲ than in group Ⅰ and Ⅱ (P <0.05). The cure rates of group Ⅰ and group Ⅱ were significantly better than those in group Ⅲ (P <0.05). Conclusion Acute calcific cholecystitis patients should be operated as soon as possible, and should not be delayed until late surgery. Acute calculous cholecystitis cholecystectomy should be within 7d, in order to ensure postoperative recovery. If the time> 7d, you should first drug treatment, stable condition after about 7 weeks depending on the circumstances select surgery.