摘要
目的分析慢性胆囊炎并胆囊结石患者应用腹腔镜与开腹手术治疗的效果。方法选择本院2016年9月至2018年6月诊治的70例慢性胆囊炎伴胆囊结石患者,随机分成研究组(35例)和对照组(35例),对照组予以开腹手术,研究组接受腹腔镜手术,比较两组治疗效果。结果研究组手术时间(36.03±1.06)min、排气时间(8.12±2.20)h、术中出血量(25.13±1.24)ml、住院时间(3.76±1.03)d,优于对照组(P<0.05);研究组TNF-α(21.24±2.12)ng/L、IL-8(0.23±0.05)μg/L、IL-1(0.28±0.07)μg/L,优于对照组(P<0.05);研究组并发症发生率5.71%,低于对照组(P<0.05)。结论相比于开腹手术,腹腔镜手术在慢性胆囊炎合并胆囊结石患者中的疗效更佳,可明显减少出血量,减短手术时间与住院时间,减轻炎症反应,且并发症少。
Objective To analyze the effect of laparoscopic and open surgery in patients with chronic cholecystitis and gallstones.Methods Seventy patients with chronic cholecystitis and cholecystolithiasis who were treated in our hospital from September 2016 to June 2018 were randomly divided into study group (35 cases) and control group (35 cases).The control group underwent open surgery.The study group underwent laparoscopic surgery and compared the effects of the two groups.Results The operation time of the study group (36.03±1.06) min,exhaust time (8.12 ±2.20) h,intraoperative blood loss (25.13±1.24) ml,hospitalization time (3.76±1.03) d,better than the control group (P<0.05);TNF-α(21.24±2.12) ng/L,IL-8 (0.23±0.05)μg/L,IL-1 (0.28±0.07)μg/L,which was superior to the control group (P<0.05).The complication rate of the study group was 5.71%, which was lower than that of the control group (P<0.05).Conclusion Compared with open surgery,laparoscopic surgery is more effective in patients with chronic cholecystitis complicated with gallstones,which can significantly reduce the amount of bleeding,shorten the operation time and hospital stay,reduce the inflammatory response,and have fewer complications.
作者
肖风林
Xiao Fenglin(Department of Surgery,Second People's Hospital of Juancheng County,Heze,Shandong,274600,China)
出处
《当代医学》
2019年第15期64-66,共3页
Contemporary Medicine
关键词
慢性胆囊炎
胆囊结石
开腹手术
腹腔镜
并发症
炎症反应
Chronic cholecystitis
Gallstones
Opensurgery
Laparoscopy
Complications
Inflammatory response
