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首页> 外文期刊>Asian journal of surgery >Predictive factors for developing acute cholangitis and/or cholecystitis in patients undergoing delayed cholecystectomy: A retrospective study
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Predictive factors for developing acute cholangitis and/or cholecystitis in patients undergoing delayed cholecystectomy: A retrospective study

机译:促进胆囊切除术患者急性胆管炎和/或胆囊炎发育急性胆管炎和/或胆囊炎的预测因素:回顾性研究

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Background/Objective: We evaluated the risk of acute cholangitis and/or cholecystitis while waiting for cholecystectomy for gallstones.MethodsWe retrospectively enrolled 168 patients who underwent cholecystectomy for gallstones after conservative therapy. We compared clinical data of 20 patients who developed acute cholangitis and/or cholecystitis while waiting for cholecystectomy (group A) with 148 patients who did not develop (group B). We investigated surgical outcomes and risk factors for developing acute cholangitis and/or cholecystitis.ResultsPreoperatively, significant numbers of patients with previous history of acute grade II or III cholecystitis (55.0% vs 10.8%; p?
机译:背景/目的:我们评估了急性胆管炎的风险和/或在等待胆囊切除术gallstones.MethodsWe回顾招收168例,谁接受胆囊切除术的保守治疗后胆结石胆囊炎。我们比较了20名患者的临床资料,在等待胆囊切除术(A组)的同时,患有148名没有发展的患者(B组)的胆囊切除术(A组)进行了比较。我们调查了用于促进急性胆管炎和/或胆囊炎的外科结果和危险因素。结果,急性急性II级或III级胆囊炎的历史(55.0%Vs 10.8%)和胆道排水(20.0在A和B组之间观察到%vs 2.0%; p?= 0.004)。白细胞计数(13500 /μlvs 8155 /μl;p≤0.01)和c-反应蛋白水平(12.6 Vs 5.1?mg / dl; p?<β0.001)在B组中显着高于B组;白蛋白水平(3.2 vs 4.0?g / dl; p?<0.001)在A组中显着较低。胆囊壁增厚(≥5Ωmm)(45.0%Vs 18.9%; p?= 0.018),被诱导的胆囊颈部石头(55.0%vs2.3%; p?= 0.005),并且Peri-alialbladder脓肿(20.0%vs 1.4%; p?= 0.002)在B组中显着更频繁地在B组中更频繁。更高的转化率至开放式手术(20.0%vs 2.0%; p?= 0.004),操作时间较长(137 vs 102?min; p?<0.001),术中并发症的发生率较高(10.0%vs 0%; p?=?在A组中观察到0.014),与B组相比。结论严重胆囊炎的历史可能是等待手术患者急性胆管炎和/或胆囊炎的危险因素;它也可能有助于增加难度。
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