急性坏疽性胆囊炎诊治的研究进展

Research Progress in Diagnosis and Treatment of Acute Gangrenous Cholecystitis

摘要: 急性坏疽性胆囊炎是急性胆囊炎的一种，是临床常见的急腹症之一，其病情发展迅速，早期诊断较困难，病死率较高，然而在各类指南中，对坏疽性胆囊炎的具体诊断并未进行系统地整理。已有的，较为常见的诊断，有些特异性常较低，或在发现时，病人病情已经到了无法挽回的地步，在临床工作中极易出现误诊、漏诊的情况，常常影响医生的判断，延误病人的诊治，因此清楚了解急性坏疽性胆囊炎的临床表现及相关辅助检查的特点，对其迅速做出判断至关重要。坏疽性胆囊炎的治疗问题同样重要，根据发病情况及病人自身特点选取最佳治疗方式，最大程度的解决原发疾病，避免不佳术式所带来不必要的术中及术后问题，提高病人愈后率，优化治疗。

Abstract: Acute gangrenous cholecystitis is a kind of acute cholecystitis, which is one of the common acute abdominal diseases in clinic. Its condition develops rapidly, early diagnosis is difficult, and the fa-tality rate is high. However, in various guidelines, the specific diagnosis of gangrenous cholecy ysti-tis has not been systematically sorted out. Existing, more common diagnosis, some of the specificity is often low, or when found, the patient’s condition has reached the point of irretrievable, in the clinical work is prone to misdiagnos, missed diagnosis, often affect the doctor’s judgment, delay the patient’s diagnosis and treatment so clearly understand the clinical manifestations of acute gan-grenous cholecystitis and related auxiliary examination characteristics. It is very important to make a quick judgment on it. The treatment of gangrenous cholecystitis is also important. Accord ling to the incidence and the characteristics of the patient, the best treatment method is selected to solve the primary disease to the greatest extent, avoid unnecessary intraoperative and postopera-tive problems caused by poor operation, improve the recovery rate of patients and optimize the treatment.