首页|腹腔镜微创疗法在基层治疗胆囊结石合并胆囊炎的疗效探讨

腹腔镜微创疗法在基层治疗胆囊结石合并胆囊炎的疗效探讨

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目的 探讨对胆囊结石伴有胆囊炎患者在基层医疗机构实施治疗期间,腹腔镜微创疗法应用效果.方法 选取2018年2月—2023年5月常熟市中西医结合医院收治的52例胆囊结石伴有胆囊炎患者为研究对象,采用随机数表法分为参照组和研究组,每组26例.参照组采用开腹手术治疗,研究组采用腹腔镜微创治疗.比较两组的治疗总有效率、并发症总发生率、疼痛评分以及各项手术指标.结果 与参照组比较,研究组治疗总有效率(96.15%)更高,差异有统计学意义(χ2=6.584,P<0.05).研究组并发症总发生率低于参照组,差异有统计学意义(P<0.05).术后6、12、24 h,研究组疼痛评分低于参照组,差异有统计学意义(P均<0.05).研究组切口长度短于参照组,术中出血量少于参照组,手术时间、肠鸣音恢复时间以及下床时间短于参照组,差异有统计学意义(P均<0.05).结论 临床对胆囊结石伴有胆囊炎患者在实施基层治疗期间,腹腔镜微创疗法的有效应用,可将患者的疗效显著提升,明显减少并发症的发生率,缓解疼痛程度,改善手术指标,可促进胆囊结石合并胆囊炎患者的良好预后.
Curative Effect of Minimally Invasive Laparoscopic Therapy in Primary Treatment of Gallstones Combined with Cholecystitis
Objective To explore the application effect of minimally invasive laparoscopic therapy in the treatment of gallstones accompanied by cholecystitis in primary medical institutions.Methods Fifty-two patients with cholecystoli-thiasis accompanied by cholecystitis admitted to Changshu Hospital of Integrated Traditional Chinese and Western Medicine from February 2018 to May 2023 were selected as the study objects,and were divided into reference group and research group by random number table method,with 26 cases in each group.The reference group was treated with open surgery,and the study group was treated with minimally invasive laparoscopic treatment.The total effective rate,total complication rate,pain score and various surgical indexes were compared between the two groups.Results Compared with the reference group,the total effective rate of the study group(96.15%)was higher,and the difference was statistically significant(χ2=6.584,P<0.05).The total incidence of complications in the study group was lower than that in the reference group,and the difference was statistically significant(P<0.05).At 6,12 and 24 h after operation,the pain score of the study group was lower than that of the reference group,and the differences were statistically sig-nificant(all P<0.05).The incision length of the study group was shorter than that of the reference group,the amount of intraoperative blood loss was shorter than that of the reference group,and the operation time,bowel sound recovery time and getting out of bed time were shorter than that of the reference group,and the differences were statistically sig-nificant(all P<0.05).Conclusion Clinically,the effective application of laparoscopic minimally invasive therapy in the implementation of primary treatment for patients with gallstones accompanied by cholecystitis can significantly im-prove the efficacy of patients,significantly reduce the incidence of complications,relieve pain,improve surgical indi-cators,and promote the good prognosis of patients with gallstones accompanied by cholecystitis.

Laparoscopic minimally invasive therapyGallstones with cholecystitisCurative effectComplicationsDegree of painOperative index

陆宇、李恒

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常熟市中西医结合医院普外科,江苏常熟 215531

腹腔镜微创疗法 胆囊结石合并胆囊炎 疗效 并发症 疼痛程度 手术指标

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(4)
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