Abstract：[Objective]To explore the operation time and clinical efficacy of cholecystectomy for patients of acute calculous cholecystitis(ACC)accompanied by acute pancreatitis(AP).[Methods]According to the opera-tion time,49 ACC patients with AP in our hospital from Jan.2011 to Dec.2013 were divided into group A and group B.Group A(n=11)underwent surgical treatment within 72 hours at admission(blood amylase still higher than normal level during the operation).Group B(n=38)received non-surgical treatment in advance, and then underwent the operation until body temperature and blood amylase returned to normal level(5~16d). The operation condition and clinical indexes were compared between two groups.[Results]Laparoscopy rate, laparotomy rate and conversion rate of laparotomy in group A were 81.82%,9.09% and 9.09% respectively, and those in group B were 92.11%,5.26% and 2.63% respectively,but there was no significant difference between two groups(P>0.05).There was no significant difference in the time of placing drainage tube be-tween two groups(P>0.05).Hospital stay and the time of blood amylase,urine amylase and white blood cell returning to normal in group B were shorter than those in group A(P <0.05).There was no significant difference in the incidence of complications between two groups(9.09% vs.2.63%,P>0.05).All patients were followed up for 6 months.No recurrence was found in 49 patients.[Conclusion]Cholecystectomy for ACC complicated with AP has good prognosis.The first choice of treatment is non-surgical treatment in ad-vance and then the operation until body temperature and blood amylase return to normal level.
引用本文:
万军%吴和明. 急性结石性胆囊炎伴急性胰腺炎患者胆囊切除手术时机及其疗效观察[J]. 医学临床研究, 2014, 31(5): 980-982.
WANJun%WUHe-ming. Observation on Operation Time and Efficacy of Cholecystectomy for Acute Calculous Cholecysti-tis Patients Complicated with Acute Pancreatitis. 医学临床研究, 2014, 31(5): 980-982.
2014, Vol. 31 
