胆道结石合并胆道感染100例临床诊治分析

陈希锋

（陕西省商洛市商州区人民医院普外科，陕西 商洛，726000）

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摘要：

目的 探讨胆道结石合并胆道感染的临床诊治特点，以期为临床诊治提供依据。方法 选取2013年1月至2016年1月我院收治的100例胆道结石合并胆道感染患者为研究对象，按病情严重程度分为A、B、C三组。A组66例患者为轻型胆道感染，B组23例患者为先兆型急性重症胆道感染，C组11例患者为确诊型急性重症胆道感染，针对病情分类，选择相应的手 术进行治疗。观察比较三组患者的住院时间、术后胆道残石率。结果 三组患者的ICU时间及术后住院时间、胆道残石率比较，有显著差异（P<0.05），C组患者的ICU时间及术后住院时间长于A、B两组，胆道残石率高于A、B两组（P<0.05）；B组患者ICU时间及术后住院时间长于A组，胆道残石率高于A组（P<0.05）。结论 胆道结石合并胆道感染临床诊治时，要先对患者病情进行诊断分型，轻型胆道结石并胆道感染患者先进行保守治疗，之后采用彻底手术治疗，先兆型急性重症胆道感染患者行手术治疗，术后给予患者抗菌药物处理，确诊型急性重症胆道感染患者应行胆囊穿孔急诊手术。

关键词：胆道结石；胆道感染；诊治

中图分类号：R657.4文献标志码：A文章编号：2096-1413(2017)14-0069-02

Clinical diagnosis and treatment analysis of 100 cases of biliary stones combined with biliary infection
CHEN Xi-feng
（People`s Hospital of Shangzhou District in Shangluo, Shangluo 726000, China）

ABSTRACT: Objective To analyze the clinical characteristics of diagnosis and treatment for biliary stone combined biliary infections to provide reference for clinical diagnosis and treatment. Methods One hundred cases of patients with biliary stones combined biliary infections in our hospital from January 2013 to January 2016 were selected and divided into group A, B and C according to the severity of disease. 杂ixty-six cases of patients in the group A were mild biliary infections, 23 cases of patients in the group B were predisposed acute severe biliary infection, 11 cases of patients in the group C were acute severe biliary tract infection, appropriate surgery was conducted by the disease classification. The ICU stay, hospitalization time and postoperative biliary residual rate were compared between the three groups. Results There were significant differences in the ICU sta y, hospitalization time and postoperative biliary residual rate among the three groups (P<0.05); the ICU stay,hospitalization time in the group C were longer than those of the group A and group B, the postoperative biliary residual rate was higher than that of the group A and group B (P<0.05), the ICU stay, hospitalization time in the group B were longer than that of the group A, the postoperative biliary residual rate was higher than that of the group A (P<0.05). Conclusion Biliary stones combined with biliary tract infection in the clinical diagnosis and treatment, patient`s disease should be diagnosed at first, patients with mild biliary infections receive complete surgical treatment after conservative treatment, patients with predisposed acute severe biliary infection accept surgical treatment and receive antibiotic treatment after surgical, patients diagnosed with acute severe biliary tract infection conduct gallbladder perforation emergency surgery.
KEYWORDS: biliary stone; biliary infection; diagnosis and treatment

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