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腹腔镜胆囊切除术对胆结石治疗效果的临床分析

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目的 探讨胆结石患者使用腹腔镜胆囊切除术(Laparoscopic Cholecystectomy,LC)的临床效果.方法 随机选取2021年2月—2023年2月永安市立医院收治的60例胆结石患者作为研究对象,以随机数表法分成研究组(n=30)与对照组(n=30),对照组采用传统手术,研究组采用LC,比较两组围术期指标、炎症因子[白细胞介素-6(Interleukin-6,IL-6)、C反应蛋白(C-reactive Protein,CRP)]、氧化应激反应指标[谷胱甘肽过氧化物酶(Glutathione Peroxidase,GSH-Px)、超氧化物歧化酶(Superoxide Dismutase,SOD)]、并发症.结果 研究组切口长度及手术、排气、住院时间较对照组更短,差异有统计学意义(t=10.400、16.930、38.786、7.738,P均<0.05),术中出血量更少,差异有统计学意义(t=14.754,P<0.05);术后两组IL-6、CRP水平均升高,但研究组较对照组更低,差异有统计学意义(t=8.083、27.832,P均<0.05);术后两组GSH-Px、SOD水平均下降,但研究组较对照组更高,差异有统计学意义(t=2.167、5.798,P均<0.05);研究组并发症总发生率 3.33%较对照组26.67%更低,差异有统计学意义(χ2=4.706,P<0.05).结论 LC治疗胆结石可缩短切口长度、手术时间、排气时间、住院时间,减少术中出血量,降低对机体炎症反应影响,减轻机体氧化应激反应,减少术后并发症发生.
Clinical Analysis of the Effect of Laparoscopic Cholecystectomy on the Treatment of Gallstones
Objective To explore the clinical effect of laparoscopic cholecystectomy(LC)in patients with gallstones.Methods A total of 60 patients with gallstones admitted to Yong'an Municipal Hospital from February 2021 to Febru-ary 2023 were randomly selected as study objects and divided into the study group(n=30)and the control group(n=30)by random number table method.Traditional surgery was used in the control group and LC was used in the study group.Perioperative indices,inflammatory factors[interleukin-6(IL-6),C-reactive protein(CRP)],oxidative stress in-dex[glutathione peroxidase(GSH-Px),superoxide dismutase(SOD)],and complications were compared between the two groups.Results The length of incision and the duration of surgery,exhaustion,and hospitalization in the study group were shorter than those in the control group,the differences were statistically significant(t=10.400,16.930,38.786,7.738,all P<0.05),and intraoperative bleeding was less,the difference was statistically significant(t=14.754,P<0.05).Postoperative IL-6 and CRP levels were elevated in both groups,but they were lower in the study group than those in the control group,the differences were statistically significant(t=8.083,27.832,both P<0.05).GSH-Px and SOD levels decreased in both groups after surgery,but they were higher in the study group than those in the control group,the differences were statistically significant(t=2.167,5.798,both P<0.05).The total complication rate of 3.33% in the study group was lower than 26.67% in the control group,and the difference was statistically significant(χ2=4.706,P<0.05).Conclusion LC treatment of gallstones can shorten the length of incision,operation time,venting time,hospitalization time,reduce the amount of intraoperative bleeding,reduce the impact on the body's inflammatory re-sponse,reduce the body's oxidative stress,and reduce the occurrence of postoperative complications.

Laparoscopic cholecystectomyGallstonesTherapeutic effect

任传奇、佘元基、陈健

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永安市立医院外科二区,福建三明 366000

腹腔镜胆囊切除术 胆结石 治疗效果

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(14)
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