摘要
目的评价腹腔镜胆囊切除术在急性胆囊炎伴胆囊结石治疗中的应用。方法方便选取2019年2月—2020年12月该院收治的98例急性胆囊炎伴胆囊结石患者,以电脑随机分配法分组,每组49例。对照组行传统开腹手术,观察组行腹腔镜胆囊切除术。评价对比两组手术效果。结果观察组患者手术时间(45.44±10.43)min、住院时间(4.58±1.24)d、肛门排气时间(19.81±2.56)h、切口长度(4.18±1.03)cm均明显短于对照组(77.36±13.54)min、(6.77±1.72)d、(25.42±4.22)h、(10.08±2.22)cm,其术中出血量(33.27±6.78)mL比对照组(70.34±9.59)mL少,差异有统计学意义(P<0.05);观察组患者术后并发症发生率为4.08%,明显比对照组(18.37%)低,差异有统计学意义(χ^(2)=5.018,P<0.05);治疗前两组炎症指标差异无统计学意义(P>0.05),治疗后观察组患者的C反应蛋白、白细胞介素-6显著低于对照组,差异有统计学意义(P<0.05)。结论手术治疗急性胆囊炎伴胆囊结石中选择腹腔镜胆囊切除术的治疗效果好,术后恢复快,能有效降低机体炎症反应,促使患者尽早康复。
Objective To evaluate the application of laparoscopic cholecystectomy in the treatment of acute cholecystitis with cholecystolithiasis.Methods From February 2019 to December 2020,98 patients with acute cholecystitis and cholecystolithiasis in the hospital were conveniently selected and randomly assigned to groups by computer,49 cases in each group.The control group underwent traditional laparotomy,and the observation group underwent laparoscopic cholecystectomy.Surgical effect were evaluated and compared between the two groups.Results The operation time(45.44±10.43)min,hospital stay(4.58±1.24)d,anal exhaust time(19.81±2.56)h,and incision length(4.18±1.03)cm in the observation group were significantly shorter than those in the control group(77.36±13.54)min,(6.77±1.72)d,(25.42±4.22)h,(10.08±2.22)cm,the intraoperative blood loss(33.27±6.78)mL was less than that of the control group(70.34±9.59)mL,and the difference was statistically significan(P<0.05).The incidence of postoperative complications in the observation group was 4.08%,which was significantly lower than that in the control group(18.37%),and the difference was statistically significant(χ^(2)=5.018,P<0.05).Before treatment,there was no statistically significant difference in inflammatory indicators between the two groups(P>0.05).After treatment,the C-reactive protein and interleukin-6 of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic cholecystectomy has good therapeutic effect in the surgical treatment of acute cholecystitis with cholecystolithiasis,and the postoperative recovery is fast,which can effectively reduce the inflammatory response of the body and promote the early recovery of patients.
作者
谢杰运
许娇英
XIE Jieyun;XU Jiaoying(Department of Surgery,Lianjiang County Hospital,Fuzhou,Fujian Province,350500 China;Western Pharmacy,Lianjiang County Hospital,Fuzhou,Fujian Province,350500 China)
出处
《中外医疗》
2022年第11期58-61,共4页
China & Foreign Medical Treatment
关键词
腹腔镜
胆囊切除术
急性胆囊炎
胆囊结石
Laparoscopy
Cholecystectomy
Acute cholecystitis
Cholecystolithiasis
作者简介
谢杰运(1977-),男,本科,副主任医师,研究方向为肝胆、外周血管。
