Diagnosis and treatment of incarcerated gallstones in emergency department which caused 180 cases of acute abdominal pain

doi:10.3969/j.issn.10073205.2016.01.006

Abstract

Abstract: ] Objective Tosummarizeandanalyzetheassociatedinducingfactorsofacute
abdominalpaincausedbyincarceratedgallstonesandcholecystectomy ( LC ) embeddedapplication
valueinthetreatmentofgallbladderstones.Methods Thestudyenrolled180patientswith
acuteabdominalpaincausedbyincarceratedgallstoneshospitalizedfromemergencydepartment
ofourhospitalastheresearchobjects , accordingtothesurgicalprocedure , thepatientswere
dividedintotwogroups : 130casesinresectiongroup , and50casesingallbladderpreserving
group.Resection group was given LC treatment , gallbladder preserving group was given
gallbladderpreservingandstoneextractionfortreatment.Therelatedfactorsandthelengthof
hospitalstay , postoperativerecoverytime , calculirecurrencerate
, incidenceofpostoperative
complicationsofpatientsintwogroupswerecompared.Results Singlefactoranalysisshowed
thatthehistoryofabnormalliverfunction , gallbladderenlargement , maximumgallstone>1.25
cm and diabetes history wererisksforincarcerated gallstones.There were no significant
differencesinthelengthofhospitalstay , timeofpostoperativerecoverytimeandtheincidenceof
complicationsbetween resection group and gallbladder preserving group ( P >0.05 ) .The
recurrencerateofresectiongroupwaslowerthanthatofgallbladderpreservinggroup ( P <0.01 )

Key words: cholecystolithiasis, emergency treatment, risk factors

HUANG Chenhai,WU Zhiyi,MO Weilin. Diagnosis and treatment of incarcerated gallstones in emergency department which caused 180 cases of acute abdominal pain[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2016.01.006.

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Diagnosis and treatment of incarcerated gallstones in emergency department which caused 180 cases of acute abdominal pain

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