摘要
目的探讨快速康复外科理念联合腹腔镜下胆总管探查取石一期缝合术治疗胆囊结石合并胆总管结石的临床效果。方法对于我院2020年1月-2021年8月的78例拟行腹腔镜下胆总管探查取石一期缝合术的患者行前瞻性研究,将其随机分为ERAS组(41例)和对照组(37例),比较两组患者围手术期相关指标及住院相关指标。两组患者年龄、术后排气时间等数据以(x±s)形式表示,采用独立t检验;术后并发症和满意度等数据采用χ^(2)检验。结果ERAS组排气时间、进食时间、首次下床时间和24h疼痛评分明显低于对照组,差异具有统计学意义(P<0.05)。虽然ERAS组手术平均时间少于对照组,但是差异并无统计学意义(P>0.05)。ERAS组并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。ERAS组的住院时间和住院花费低于对照,差异具有统计学意义(P<0.05)。ERAS组患者的满意度高于对照组,差异具有统计学意义(P<0.05)。结论快速康复外科理念联合腹腔镜下胆总管探查取石一期缝合术治疗胆囊结石合并胆总管结石效果确切,且有患者痛苦小、住院时间短、花费少和患者满意度高的优点。
Objective To explore the clinical efficacy of enhanced recovery after surgery(ERAS)combined with primary stu⁃ture of laparoscopic common bile duct exploration in the treatment of cholecysto⁃choledocholithiasis.Methods A prospective study was conducted on 78 patients who planned to undergo primary stuture of laparoscopic common bile duct exploration in our hospital from Jan⁃uary 2020 to August 2021.They were randomly divided into ERAS group(41 cases)and control group(37 cases).The perioperative related indexes and hospitalization related indexes of the two groups were compared.The data of the two groups such as age and postop⁃erative exhaust time were expressed in the form of(x±s)and were compared by t test,the data of the two groups such as postoperative complications and satisfaction were statistically compared by chi⁃square test.Results The exhaust time,eating time,first time out of bed and 24h pain score in ERAS group were significantly lower than those in the control group(P<0.05).Although the average oper⁃ation time in ERAS group was less than that in control group,the difference was not statistically significant(P>0.05).The total inci⁃dence of complications in ERAS group was significantly lower than that in control group(P<0.05).The hospitalization time and hos⁃pitalization cost of ERAS group were lower than those of the control group,and the difference was statistically significant(P<0.05).The satisfaction of patients in ERAS group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion The idea of enhanced recovery after surgery(ERAS)combined with primary stuture of laparoscopic common bile duct exploration in the treatment of cholecysto⁃choledocholithiasis has the advantages of less pain,short hospital stay,less cost and high patient satisfaction.
作者
化苏杭
陈志刚
吴孝安
郭靖
HUA Su-hang;CHEN Zhi-gang;WU Xiao-an(Department of Hepatobiliary Surgery of Huaibei People’s Hospital,Hua-ibei 235000,China)
出处
《肝胆外科杂志》
2022年第3期213-216,共4页
Journal of Hepatobiliary Surgery
关键词
快速康复外科
腹腔镜下胆总管探查取石
一期缝合术
胆囊结石合并胆总管结石
enhanced recovery after surgery(ERAS)
primary stuture
laparoscopic common bile duct exploration
cholecysto-choledocholithiasis
作者简介
通讯作者:陈志刚。
