腹腔镜胆囊切除术治疗急性结石性胆囊炎合并2型糖尿病患者的疗效分析被引量：2

Efficacy analysis of laparoscopic cholecystectomy in the treatment of patients with acute calculous cholecystitis complicated with type 2 diabetes mellitus

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摘要目的探讨腹腔镜胆囊切除术治疗急性结石性胆囊炎合并2型糖尿病患者的临床疗效。方法选取2019年5月至2020年5月本院收治的100例急性结石性胆囊炎合并2型糖尿病患者作为研究对象,随机分为对照组与干预组,每组50例。对照组采用传统开腹手术治疗,干预组采用腹腔镜胆囊切除术治疗。比较两组手术时间、术中出血量、排气时间、下床活动时间、视觉模拟评分法(VAS)评分、术后并发症发生率及住院时间。结果干预组手术时间、排气时间、下床活动时间均短于对照组,术中出血量少于对照组(P<0.05)。术前,两组VAS评分比较差异无统计学意义;术后,两组VAS评分均高于术前,但干预组低于对照组(P<0.05)。干预组并发症发生率为4.0%,低于对照组的18.0%(P<0.05);干预组住院时间短于对照组(P<0.05)。结论与传统开腹手术相比,腹腔镜胆囊切除术治疗急性结石性胆囊炎合并2型糖尿病效果显著,可明显缩短手术时间,减少术中出血量和术后并发症发生,减轻疼痛程度,促进预后康复,值得临床推广应用。

作者刘伟男郝晶张东陈广泉 LIU Weinan;HAO Jing;ZHANG Dong

机构地区沈阳市第四人民医院普外科

出处《当代医学》 2022年第12期165-167,共3页 Contemporary Medicine

关键词胆囊切除术急性结石性胆囊炎 2型糖尿病腹腔镜

分类号 R657.4 [医药卫生—外科学] R587.1 [医药卫生—内分泌]

作者简介通信作者:陈广泉,E-mail:38401225@qq.com。

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