不同时机腹腔镜胆囊切除术治疗胆囊结石合并急性胆囊炎患者的疗效分析

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关键词：胆囊结石；急性胆囊炎；腹腔镜胆囊切除术；围术期指标；并发症 中图分类号：R657.4+2文献标志码：A文章编号：1001-5779（2025）07-0646-04 DOI：10.3969/j.issn. 1001-5779.2025.07.005

Analysis of the efficacy of different mechanism laparoscopic cholecystectomy in the treatment of patients with gallbladder stones and acute cholecystitis

YE Min-yong，XIONG Shuai，ZHANG Pei-fu，LIU Li-ming （GanxianPeople'sHospital，Ganzhou，Jiangxi341000）

Abstract：Objective：To explore the efcacyof laparoscopiccholecystectomy（LC）in patients with galbladder stones andacutecholecystitis.Methods：Aretrospectiveanalysiswasconductedontheclinicaldataof8Opatients withgalstones complicatedbyacutecholecystitisadmited toourhospitalfromAugust2023toAugust2O24.According todifferent treatment timings，6O patients who underwent surgery within 1 week ofonset were clasified as the observation group （earlyLC），while2Opatients whounderwentsurgery within 2weeks ofonset were classifiedasthecontrol group（delayed LC）.Perioperative indicators，complications，and recurrence rates were compared between the two groups.Results ： The operation time，time offirst flatus and postoperative hospital stay were shorter in the observation group than inthe control group，with statistical significance （ P<0.05 ）.There was no significant difference in intraoperative blood loss between the two groups（ P>0.05 ）.The observation group also had fewer complications and a lower recurrence rate than the control group，with statistical significance （ P<0.05 ）.Conclusion：Early LC surgery for patients with gallstones complicated byacutecholecystitiscanoptimizeperioperativeindicators，significantlyshorten hospital stays，reduce postoperative complications and recurrence rates，and enhance surgical safety.

KeyWords：Galstone；Acutecholecystitis；Laparoscopiccholecystectomy；Perioperative indicators；Complications

胆囊结石合并急性胆囊炎是临床上较为常见的急腹症之一，多发于 50～60 岁微胖人群，其中女性发病率高于男性。（剩余4225字）