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Abstract：
UNASSIGNED: The aim of this study was to perform retrospective analysis of data collected from patients of gallbladder perforations for diagnosis, management and outcome.
UNASSIGNED: A retrospective analysis of data was carried out for 40 patients of gallbladder perforations from the hospital record of patients who were diagnosed preoperatively and intraoperatively as a case of gallbladder perforation over a period of 10 years and were managed in our surgery unit of a tertiary health care centre. Patients were included irrespective of sex except cases of trauma and patients of the paediatric age group.
UNASSIGNED: Among 40 patients, 26 were females and 14 were males. As per Anderson modification of Neimeier classification, 13 (32.5%) had type 1, 23 (57.5%) had type 2, and four (10%) patients had type 3 perforations and none of the patients had type 4 perforation. Twenty-three patients (57.5%) were found to have fundal perforation, followed by body in 11 patients (27.5%), three (7.5%) in Hartman\'s pouch while in three patients (7.5%), there were multiple perforations. All patients of type 1 Neimer classification were diagnosed clinically as cases of biliary peritonitis, whereas most cases of type 2 Neimer classification were diagnosed preoperatively by CECT abdomen 12/23 patients (52%) and ultrasound abdomen 10/23 (43.47%). All patients underwent surgery, and there were three mortalities.
UNASSIGNED: In our study, there was female predominance in patients having gallbladder perforation. Of the patients, 52.5% were diabetic and mean age was 55.9 years. CECT abdomen was the most useful modality for diagnosis of type 2 gallbladder perforations. Timely surgical intervention is mandatory for a better outcome of these cases.
UNASSIGNED: A retrospective analysis of data was carried out for 40 patients of gallbladder perforations from the hospital record of patients who were diagnosed preoperatively and intraoperatively as a case of gallbladder perforation over a period of 10 years and were managed in our surgery unit of a tertiary health care centre. Patients were included irrespective of sex except cases of trauma and patients of the paediatric age group.
UNASSIGNED: Among 40 patients, 26 were females and 14 were males. As per Anderson modification of Neimeier classification, 13 (32.5%) had type 1, 23 (57.5%) had type 2, and four (10%) patients had type 3 perforations and none of the patients had type 4 perforation. Twenty-three patients (57.5%) were found to have fundal perforation, followed by body in 11 patients (27.5%), three (7.5%) in Hartman\'s pouch while in three patients (7.5%), there were multiple perforations. All patients of type 1 Neimer classification were diagnosed clinically as cases of biliary peritonitis, whereas most cases of type 2 Neimer classification were diagnosed preoperatively by CECT abdomen 12/23 patients (52%) and ultrasound abdomen 10/23 (43.47%). All patients underwent surgery, and there were three mortalities.
UNASSIGNED: In our study, there was female predominance in patients having gallbladder perforation. Of the patients, 52.5% were diabetic and mean age was 55.9 years. CECT abdomen was the most useful modality for diagnosis of type 2 gallbladder perforations. Timely surgical intervention is mandatory for a better outcome of these cases.
摘要：
■这项研究的目的是对从胆囊穿孔患者收集的数据进行回顾性分析，以进行诊断。管理和结果。
■对40例胆囊穿孔患者的住院记录进行了回顾性分析，这些患者在术前和术中诊断为胆囊穿孔病例，为期10年，并在我们的三级医疗保健中心的外科部门进行管理。除创伤病例和儿科年龄组患者外，患者不分性别。
■在40名患者中，女性26人，男性14人。根据安德森对Neimeier分类的修改，13例（32.5％）为1型，23例（57.5％）为2型，4例（10％）患者为3型穿孔，没有患者为4型穿孔。23例(57.5%)患者被发现有眼底穿孔,其次是身体11例(27.5%)，三个（7.5％）在哈特曼的袋中，而三个患者（7.5％），有多个穿孔。所有1型Neimer分级的患者均临床诊断为胆源性腹膜炎,而大多数2型Neimer分类病例在术前通过CECT腹部12/23患者（52％）和超声腹部10/23（43.47％）诊断。所有患者都接受了手术，有三个死亡。
■在我们的研究中，胆囊穿孔患者以女性为主。在患者中，52.5%为糖尿病患者，平均年龄为55.9岁。CECT腹部是诊断2型胆囊穿孔最有用的方式。为了更好地治疗这些病例，必须进行及时的手术干预。
■对40例胆囊穿孔患者的住院记录进行了回顾性分析，这些患者在术前和术中诊断为胆囊穿孔病例，为期10年，并在我们的三级医疗保健中心的外科部门进行管理。除创伤病例和儿科年龄组患者外，患者不分性别。
■在40名患者中，女性26人，男性14人。根据安德森对Neimeier分类的修改，13例（32.5％）为1型，23例（57.5％）为2型，4例（10％）患者为3型穿孔，没有患者为4型穿孔。23例(57.5%)患者被发现有眼底穿孔,其次是身体11例(27.5%)，三个（7.5％）在哈特曼的袋中，而三个患者（7.5％），有多个穿孔。所有1型Neimer分级的患者均临床诊断为胆源性腹膜炎,而大多数2型Neimer分类病例在术前通过CECT腹部12/23患者（52％）和超声腹部10/23（43.47％）诊断。所有患者都接受了手术，有三个死亡。
■在我们的研究中，胆囊穿孔患者以女性为主。在患者中，52.5%为糖尿病患者，平均年龄为55.9岁。CECT腹部是诊断2型胆囊穿孔最有用的方式。为了更好地治疗这些病例，必须进行及时的手术干预。
