经皮胆囊穿刺引流联合腹腔镜胆囊切除术治疗急性结石梗阻性胆囊炎疗效分析

目的探讨分析急性结石梗阻性胆囊炎患者行经皮胆囊穿刺引流联合腹腔镜胆囊切除术的治疗效果。方法选取该院自2011年12月—2013年1月期间,住院部收治的急性结石梗阻性胆囊炎患者共计50例作为研究对象,按照计算机随机方法分组为对照组,研究组,每组患者各计25例。对照组患者直接给予腹腔镜胆囊切除术进行治疗,研究组患者在行经皮胆囊穿刺引流术后再给予腹腔镜胆囊切除术进行治疗。对两组患者的腹腔镜手术成功率、平均住院时间、术后并发症发生率进行综合对比与分析。结果对照组25例患者中,20例患者腹腔镜手术取得成功,手术成功率为80.00%,研究组25例患者中,25例患者腹腔镜手术取得成功,手术成功率为100.00%,研究组腹腔镜手术成功率明显高于对照组;研究组患者住院时间明显短于对照组;研究组患者平均术中出血量明显低于对照组;研究组术后并发症发生率明显低于对照组;以上数据对比存差异有统计学意义（P〈0.05）。结论急性结石梗阻性胆囊炎患者应用经皮胆囊穿刺引流联合腹腔镜胆囊切除术进行干预具有安全、有效的优势,可早期控制胆道炎症,降低胆道压力,提高腹腔镜手术的成功率、降低术后并发症发生率,提高患者预后水平,值得临床应用。

Analysis of the Efficacy of Percutaneous Drainage of Gallbladder Combined with Laparoscopic Cholecystectomy in the Treatment of Acute Calculous Obstructive Cholecystitis

Objective To investigate the treatment effect of percutaneous drainage of gallbladder combined with laparoscopic cholecystectomy in the treatment of acute calculous obstructive cholecystitis. Methods 50 cases of patients with acute calculous obstructive cholecystitis admitted in our hospital from December, 2011 to January, 2013 were selected as the subjects, and they were divided into the control group and the study group according to the computer random method with 25 cases in each. Patients in the control group were given laparoscopic cholecystectomy, and patients in the study group were given laparoscopic cholecystectomy after percutaneous drainage of gallbladder. The success rate of laparoscopic operation, the average length of stay, the incidence of postoperative complications of two groups were compared and analyzed. Results Of the 25 patients in the control group, the laparoscopic operation of 20 patients were successful, the success rate of operation was 80%. Of the 25 patients in the study group, the laparoscopic operation of the 25 patients were successful, the success rate of operation was 100.00%. The laparoscopic operation success rate of the study group was significantly higher than that of the control group; the hospitalization time was much shorter than that of the control group; the average amount of bleeding during operation of the study group was significantly less than that of the control group; the incidence of postoperative complications was obviously lower than that of the control group; there were statistically significant differences in the above data（P〈0.05）. Conclusion Percutaneous drainage of gallbladder combined with laparoscopic cholecystectomy for acute calculous obstructive cholecystitis has the advantages of safety and effectiveness, which can control the inflammation of biliary tract, reduce the biliary tract pressure, improve the success rate of laparoscopic cholecystectomy, reduce the incidence of postoperative complications and improve the prognosis, and is worthy of cli