首页|腹腔镜下胆道探查手术对胆总管结石患者炎症反应及术后恢复情况的影响

腹腔镜下胆道探查手术对胆总管结石患者炎症反应及术后恢复情况的影响

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目的 探讨腹腔镜下胆道探查手术对胆总管结石患者的效果分析.方法 选取 2021 年 1 月—2023 年 10月济阳区人民医院收治的 86 例胆总管结石患者为研究对象,按随机数字表法将其分为对照组和观察组,每组 43 例.对照组采用传统开腹手术,观察组采用腹腔镜下胆道探查手术.对比两组的手术情况、术后恢复情况、应激反应、炎症反应、并发症发生情况.结果 观察组手术时间、住院时间、下床活动时间、排气时间均短于对照组,术中出血量少于对照组,组间差异有统计学意义(P﹤0.05);术后 1d,观察组皮质醇、促肾上腺皮质激素、白细胞介素-6、C反应蛋白、降钙素原水平均低于对照组,组间差异有统计学意义(P﹤0.05);观察组并发症发生率为 4.65%,低于对照组的 20.93%,差异有统计学意义(P﹤0.05).结论 胆总管结石患者采用腹腔镜下胆道探查手术,存在创伤小、并发症少等优势,能够减轻患者的应激、炎症反应,有利于术后迅速恢复.
Effect of Laparoscopic Biliary Duct Exploration Surgery on Inflammatory Response and Postoperative Recovery in Patients with Choledocholithiasis
Objective To explore the effect of laparoscopic biliary duct exploration surgery on patients with choledocholithiasis.Methods A total of 86 patients with choledocholithiasis admitted to Jiyang District People's Hospital from January 2021 to October 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 43 cases in each group.The control group underwent traditional laparotomy,and the observation group underwent laparoscopic biliary duct exploration surgery.The conditions of operation,postoperative recovery,stress response,inflammatory response,and complications were compared between the two groups.Results The operation time,hospitalization time,getting out of bed time and exhaust time of the observation group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,and the differences between the groups were statistically significant(P﹤0.05);after 1 day of surgery,the levels of Cortisol,adrenocorticotropin,interleukin-6,C-reactive protein and calcitonin in observation group were lower than those in control group,and the differences between the groups were statistically significant(P﹤0.05);the incidence of complications in the observation group was 4.65%,which was lower than 20.93%in the control group,and the difference was statistically significant(P﹤0.05).Conclusion Laparoscopic biliary duct exploration surgery for patients with choledocholithiasis has the advantages of less trauma and fewer complications,which can reduce the stress and inflammatory response of patients,and beneficial for rapid postoperative recovery.

CholedocholithiasisLaparoscopic biliary duct exploration surgeryInflammatory responsecomplication

王洪序、何亮、菅秀丽、温庆彬

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济阳区人民医院普外一科,山东 济南 251400

济阳区中医医院肛肠科,山东 济南 251400

胆总管结石 腹腔镜下胆道探查手术 炎症反应 并发症

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(19)