摘要
目的观察胆囊结石合并糖尿病患者预防性胆囊切除的效果。方法 2010年1月—2015年6月该科手术治疗胆囊结石合并糖尿病患者157例,其中急诊手术85例,择期手术72例。两组年龄、性别、糖尿病病程、平均体质量指数、血糖控制程度等资料均有可比性(P>0.05)。两组患者均采用小切口胆囊切除术,观察两组住院时间、手术时间及术后并发症发生情况。结果择期手术组术后并发症发生率(16.5%)低于急诊手术组(5.6%),P<0.05;择期手术组住院天数为(10.5±2.1)d,急诊手术组为(13.4±2.7)d,择期手术组住院天数明显短于急诊手术组,P<0.05;择期手术组手术时间为(68.5±15.7)min,急诊手术组为(93.4±20.1)min,择期手术组手术时间也明显短于急诊手术组,P<0.05。结论对胆囊结石伴糖尿病患者有症状时,应常规切除胆囊,即使对无症状者也应作预防性胆囊切除,手术方式尽可能采用微创术式,降低手术风险。
Objective To observe the gallbladder stone with diabetes preventive effect of gallbladder excision. Methods 1,2010-6, 2015 our department surgery treatment of gallbladder stone with 157 patients with diabetes, including emergency operation in 85 cases, 72 cases of elective surgical procedures. Two groups of age, sex, diabetes duration, and degree of average body mass index（bmi）, blood sugar control data were comparable（P〈0.05）. Two groups of patients with small incision cholecystectomy, observe two groups of length of hospital stay, operation time and postoperative complications.Results The incidence of haing electie surgical postoperative complications（16.5%） is lower than the emergency surgical group（5.6%）, P〈0.05; Elective surgery group is（10.5 ±2.1） days hospitalization days, emergency surgery group is（13.4±2.7）days, haing electie surgical group hospitalization days significantly shorter than the emergency treatment, P〈0.05; Haing electie surgical operation time was（68.5 ±15.7） minutes, emergency surgery group（93.4 ±20.1） minutes, elective surgical operation time can also significantly shorter than the emergency surgery group,P〈0.05. Conclusion For patients with diabetes with symptomatic gallstone disease, should be regular removal of the gallbladder, even for asymptomatic should make preventive gallbladder excision, operation method using minimally invasive surgery, as far as possible, reduce the risk of surgery.
出处
《糖尿病新世界》
2016年第1期48-49,共2页
Diabetes New World Magazine
关键词
胆囊结石
糖尿病
预防性
胆囊切除
效果
Gallbladder stones
Diabetes
Preventive
Gallbladder Excision
Effect
