本文關(guān)鍵詞：結(jié)石性膽道梗阻手術(shù)時(shí)機(jī)的研究　出處：《昆明醫(yī)科大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 結(jié)石 膽管炎 手術(shù)

【摘要】：[目的]：探討結(jié)石性膽道梗阻并急性膽管炎的手術(shù)時(shí)機(jī)對(duì)疾病預(yù)后的影響。[方法]：對(duì)在昆明醫(yī)科大學(xué)第五附屬醫(yī)院從2012年06月到2015年12月治療的因結(jié)石性膽道梗阻導(dǎo)致急性膽管炎的100例患者的臨床資料進(jìn)行回顧性分析；將上述100例患者分為擇期手術(shù)組、急診手術(shù)組、保守治療組,對(duì)上述治療方法的療效進(jìn)行統(tǒng)計(jì)分析。[結(jié)果]：本組病例因結(jié)石性膽道梗阻導(dǎo)致急性膽管炎的患者集中在50-70歲,以中老年居多。無(wú)論是中年或是老年患者,其接受擇期手術(shù)、急診手術(shù)或保守治療對(duì)住院時(shí)間長(zhǎng)短均無(wú)影響。無(wú)論是中年或是老年患者,擇期手術(shù)組均比急診手術(shù)組和保守治療組有更佳的治療效果。對(duì)于中年或老年患者而言,接受擇期手術(shù)患者肝功能恢復(fù)均好于急診手術(shù)。無(wú)論是老年還是中年患者擇期手術(shù)總并發(fā)癥發(fā)生率小于急診手術(shù)總并發(fā)癥發(fā)生率。[結(jié)論]：對(duì)老年人及中年人而言,擇期手術(shù)的療效要優(yōu)于急診手術(shù)和保守治療；擇期手術(shù)的患者其術(shù)后肝功能的恢復(fù)要優(yōu)于急診手術(shù)的患者以及保守治療患者。擇期手術(shù)總并發(fā)癥發(fā)生率比急診手術(shù)小。保守治療存在較高的并發(fā)癥發(fā)生風(fēng)險(xiǎn)和復(fù)發(fā)再次住院率。
[Abstract]:[Objective]]: To investigate the influence on the prognosis. Methods the operation time of calculous biliary obstruction and acute cholangitis in Fifth Affiliated Hospital of Kunming Medical University from 2012 to December 2015 06 month treatment for calculi of biliary obstruction caused 100 cases of acute cholangitis in patients with clinical data were retrospectively analyzed the 100 patients; divided into elective surgery group, emergency surgery group and conservative treatment group, curative effect of the treatment were analyzed. Results: this group of case of illness because of the calculi of biliary obstruction causing acute cholangitis were concentrated in the 50-70 years old, mostly middle-aged. Both middle-aged or elderly patients undergoing elective surgery, the emergency. Surgery or conservative treatment had no effect on the duration of hospitalization. Both middle-aged or elderly patients undergoing elective surgery were higher than emergency surgery group and conservative treatment group had better treatment Results. For the middle-aged or elderly patients, undergoing elective surgery in patients with liver function recovery were better than emergency surgery. Whether elderly or middle-aged patients undergoing elective surgery total complication rate is less than the total complication rate of emergency surgery. Conclusion: the elderly and middle-aged people, the effect of elective surgery is superior to the emergency operation and conservative treatment liver function; the postoperative recovery of patients with elective surgery is superior to the emergency surgery and conservative treatment of patients undergoing elective surgery. The total complication rate than emergency surgery. Conservative treatment had a higher risk of complications and recurrence rate of hospitalization.

【學(xué)位授予單位】：昆明醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R657.4

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