【摘要】 目的探讨胆囊大部切除术在治疗慢性胆囊炎中安全性和有效性。方法回顾性分析我院2000年2月～2012年2月间收治慢性胆囊炎148例患者,其中行胆囊大部切除术的73例、胆囊切除术的75例的临床资料。结果全组病例均顺利康复,无肝外胆管损伤及大出血等并发症发生。与对照组相比,治疗组患者的平均手术时间和平均出血量明显降低(P<0.01),术后胃肠功能恢复时间无明显差异(P>0.05)。结论对胆囊三角区解剖困难的慢性胆囊炎患者,不强求胆囊完全切除,行胆囊大部切除术,可获得与胆囊切除术相同的疗效。更多还原

【Abstract】 Objective To investigate the safety and efficacy of subtotal cholecystectomy surgery in the treatment of chronic cholecystitis.Methods Clinical data of 148 patients with chronic cholecystitis treated in our hospital from February 2000 to February 2012 were analyzed retrospectively,of which 73 patients received subtotal cholecystectomy surgery and 75 patients received cholecystectomy.Results All the patients recovered successfully,without extrahepatic bile duct injury and bleeding complications.Compared to the control group,the treatment group had significantly reduced mean operative time and mean blood loss(P < 0.01),but had no significant difference in the postoperative gastrointestinal function recovery time(P > 0.05).Conclusion For patients with chronic cholecystitis whose gallbladder triangle is difficult to anatomize,complete cholecystectomy is not compulsory and subtotal cholecystectomy can achieve the same efficacy with the complete cholecystectomy.更多还原