急性胆囊炎

对急性胆囊炎CT诊断指标的再认识

Reevaluation of CT diagnostic indexes of acute cholecystitis

方法分析急性胆囊炎经LC手术106例患者的临床资料。

Methods The clinical data of106 patients with acute cholecystitis underwent LC were reviewed retrospectively .

CT引导下经皮胆囊造瘘术治疗高龄、危重急性胆囊炎患者

Percutaneous cholecystostomy by using CT guidance for treatment of acute cholecystitis in elderly , critically ill patients

结论急性胆囊炎在发病早期是行LC的理想时机；

Conclusions The ideal opportunity of LC for acute cholecystitis was at the early stage .

结论急性胆囊炎伴胆囊壶腹结石嵌顿和胆囊积脓患者行LC可行。

Conclusions Laparoscopic cholecystectomy in the management of incarcerated cystic duct stones associated with gallbladder empyema is feasible .

目的：总结急性胆囊炎（Acutecholecystitis，AC）行腹腔镜胆囊切除术（laparoscopiccholecystectomy，LC）的治疗体会。

Objective : Case summary of the treatment experience of laparoscopic cholecystectomy ( LC ) used in the treatment of acute cholecystitis .

方法对326例急性胆囊炎LC的临床效果及手术方法进行回顾性分析。

Methods The clinical effect and the operative method of LC for 326 cases of acute cholecystitis were retrospectively analyzed .

经内镜治疗后48h内，26例患者腹痛缓解，体温下降，急性胆囊炎症状均得到有效控制。

26 cases were relieved within 48 h with endoscope and gained better symptom control .

急性胆囊炎预测模型的建立及超声诊断的ROC评价

Predictive Equation of Acute Cholecystitis and Ultrasound Evaluation with Receiver Operating Characteristic ( ROC ) Curve

结论合理运用LC及选择性引流、适时中转，急性胆囊炎行腹腔镜胆囊切除术（LC）是安全有效地。

Conclusions : Reasonably using LC and the selective drainage and timely open exploration , the Laparoscopic cholecystectomy for acute cholecystitis is safe and effective .

目的探讨急性胆囊炎腹腔镜切除术（LC）中腹腔引流的放置指征及其作用。

Objective : To discussion the indication and role of Intraperitoneal Drainage ( ID ) on Laparoscopic Cholecystectomy ( LC ) for Acute Cholecytitis ( AC ) .

结论：只要掌握正确的手术时机，及时中转开腹，急性胆囊炎行LC是安全可行的。

Conclusions : If taken the opportunity of LC correctly and changed to open operation in time , LC is safe and feasible in acute cholecystitis with cholelithiasis .

结论合理地选择病人，把握住手术时机并注重手术技巧，急性胆囊炎患者行LC是安全可行的。

Conclusions LC is safe and effective for acute cholecystitis as long as the patients and surgery time are properly selected , and the procedure is strictly followed .

目的：总结急性胆囊炎腹腔镜胆囊切除术（LC）后脐部切口感染的发生因素，提出预防措施。

Objective : To summarize the factors related with umbilical incisional infection in patients with acute cholecystitis after laparo ˉ scopic cholecystectomy ( LC ), and propose its precautionary measure .

结论：急性胆囊炎LC的危险因素计分有助于外科医生在术前对病人进行全面评估，以提高LC的成功率，减少并发症的发生。

Conclusion : The risk score for LC in acute cholecystitis in the study is helpful for evaluating completely the patients of LC before operation , and for increasing success rate and decreasing complication incidence of LC .

方法：采用三孔技术行LC共2917例，其中用三孔技术施行急性胆囊炎97例。

Methods : From May 1994 to Oct 2002 , 2 ? 917 cases underwent LC with technique of three-port , of which 97 cases were acute cholecystitis . The role and condition of technique were retrospectively analyzed .

结论胆囊体积增大、张力增高、壁薄（≤2mm）是超声诊断早期急性胆囊炎的重要指标。

Conclusion Gallbladder enlargement , tension increasing , wall remaining thin ( not more than 2 mm ) are important criteria for diagnosing early acute cholecystitis .

而以适当的方式控制输液量，积极合适的手术方式和及时去除感染病灶，积极的机械辅助呼吸，对急性胆囊炎合并2型糖尿病术后ARDS的发生和治疗有积极意义。

Proper control of the quantity of transfusion , appropriate operation mode to wipe off infection fault and active mechanically assisted breath might prevent and cure postoperative ARDS in patients with acute cholecystitis combined with type 2 diabetes .

方法：回顾分析32例老年人急性胆囊炎LC的临床资料，比较早期（急性发作48h内）LC及延期（急性发作48h后）LC的治疗结果。

Methods : Clinical data of 32 aged cases with acute cholecystitis undergone LC were analyzed retrospectively , in the meanwhile , the results of early LC ( within 48h of the acute attack ) and delayed LC ( at the acute attack 48h later ) were compared .

目的总结B超引导下经皮经肝胆囊穿刺引流（PTGD）对高龄高危急性胆囊炎病人的治疗经验。

Objective To summarize the experience drawn from treatment of elderly and high-risk patients with acute cholecystitis by ultrasound-guided percutaneous transhepatic gallbladder drainage ( PTGD ) .

腹腔镜治疗急性胆囊炎145例分析

An analysis of 145 cases of acute cholecystitis treated by laparoscopy

高龄急性胆囊炎手术风险预测与防治

Treatment and risk prediction of acute cholecystitis operation in the elderly

术前超声检查预测急性胆囊炎腹腔镜胆囊切除术的技术难度术中胆道造影在急诊胆囊切除术中的应用体会

Sonography in acute cholecystitis to predict technical difficulties during laparoscopic cholecystectomy

急性胆囊炎合并2型糖尿病术后急性呼吸窘迫综合征分析

Postoperative ARDS in the acute cholecystitis combined with type 2 diabetes

创伤及腹部术后并发急性胆囊炎22例

22 cases of acute cholecystitis caused by trauma and abdominal operation

腹腔镜切除急性胆囊炎32例报告

Acute cholecystitis under laparoscope : with a report of 32 cases

腹腔镜胆囊切除术治疗急性胆囊炎：附272例报告

Laparoscopic cholecystectomy for acute cholecystitis : a report of 272 cases

B超预测急性胆囊炎行腹腔镜胆囊切除术难度的价值

Preoperative ultrasonography to predict laparoscopic cholecystectomy difficulty for acute cholecystitis patients

鉴别诊断也必须考虑急性胆囊炎。

Acute cholecystitis must be considered in the differential diagnosis .

56例老年急性胆囊炎诊治临床分析

Clinical Analysis of Senile Acute Cholecystitis : a Report of 56 Cases