【摘 要】目的：探讨最佳的急性胆囊炎手术方式和手术时机。方法：回顾性分析2008年5月至2011年5月间我院收治的158例急性胆囊炎患者治疗方法和处理时间以及预后，比较术中出血量、胆道或其他组织损伤率、切口感染率、肺部感染率、住院天数等。结果：延期手术组胆道或其他组织损伤率、切口感染率早延期手术组低、出血量小，但住院天数长于早期手术组，差异有统计学意义。胆囊粘膜剔除术较其他术式胆道或其他组织损伤率、切口感染率低、出血量小、住院时间短，差异有统计学意义。结论：对于不同的急性胆囊炎患者应尽早采取对应的治疗方法。

    【关键词】急性胆囊炎；手术方式；手术时机；预后；胆囊切除术

    【中图分类号】R 657.4 【文献标识码】A 【文章编号】1004-7484(2012)04- 0099- 01

    【Abstract】Objective：To evaluate the best mode and timing on cholecyatectomy for patients with acute cholecystitis.Methods：158 patients’documents were studied by retrospective analysis from May 2008 to May 2011.The patients was troubled with acute cholecystitis.The document was consist of treatment method and treatment time and prognosis, comparison of intraoperative blood loss, biliary or other tissue damage rate, wound infection rate, rate of pulmonary infection, length of hospital stay. Results：comparison of intraoperative blood loss, biliary or other tissue damage rate, wound infection rate, rate of pulmonary infection, length of hospital stay of the delayed cholecystectomy group was better than that of the early cholecystectomy group. the difference was statistically significant.All the index of gallbladder mucosal resection was better than that of other operation mode.The difference was statistically significant. Conclusion：The suitable mode and timing should be taken for different patients with acute cholecystitis as early as possible. ......