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目的探究胆囊结石合并急性胰腺炎实施胆囊切除术的最佳时机。方法选取我院43例胆囊结石合并急性胰腺炎患者,按患者治疗意愿分组,对照组在保守治疗(6~14d)病情稳定后行择期胆囊切除术,实验组在发病48小时内进行胆囊切除术,比较两组手术效果。结果实验组手术时间、术后住院时间明显短于对照组(P<0.05);两组术中出血量、术后并发症发生率、胰腺炎复发率比较均无显著差异(P>0.05)。结论胆囊结石合并急性胰腺炎患者在发病后48h内进行手术治疗,可有效缩短手术时间和住院时间,最大限度减轻患者的痛苦,具有一定可行性。
Objective To investigate the best timing of cholecystectomy for gallstone with acute pancreatitis. Methods Forty-three patients with cholecystolithiasis and acute pancreatitis in our hospital were enrolled. Patients in the control group were treated with conservative treatment (6 ~ 14 days) and underwent elective cholecystectomy. Patients in the experimental group underwent cholecystectomy within 48 hours , Comparing the two groups of surgical results. Results The operation time and postoperative hospital stay in the experimental group were significantly shorter than those in the control group (P <0.05). There was no significant difference between the two groups in the amount of bleeding, the incidence of postoperative complications and the recurrence rate of pancreatitis (P> 0.05). Conclusion Gallstone with acute pancreatitis in patients within 48h after surgery for surgery, which can effectively shorten the operation time and hospital stay, minimize the pain of patients, with a certain feasibility.