首页|双镜联合保胆取石术治疗胆囊结石患者对胃肠功能及并发症的影响

双镜联合保胆取石术治疗胆囊结石患者对胃肠功能及并发症的影响

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目的 研究双镜联合保胆取石术治疗胆囊结石患者的临床疗效.方法 选取2020年5月—2023年3月郓城县诚信医院收治的72例胆囊结石患者,以随机数表法分为对照组(n=36)和研究组(n=36).对照组行腹腔镜胆囊切除术,研究组行双镜联合保胆取石术.比较两组临床疗效,胃泌素、胃动素水平以及并发症发生情况.结果 研究组手术时间长于对照组、首次排气时间短于对照组,差异有统计学意义(P均<0.001);术前,两组胃泌素、胃动素水平对比,差异无统计学意义(P>0.05),术后研究组胃泌素、胃动素水平高于对照组,差异有统计学意义(P均<0.001).研究组并发症发生率(2.78%)低于对照组(16.67%),差异有统计学意义(P<0.05).结论 双镜联合保胆取石术在胆囊结石患者治疗中效果较优,由于其保留患者胆囊,对患者机体及胃肠功能损伤较小,有助于患者术后恢复,且并发症风险较低.
Effect of Double Mirror Combined with Gallbladder Saving Lithotomy on Gastrointestinal Function and Complications in Patients with Gallstone
Objective To study the clinical effect of double mirror combined with gallbladder saving lithotomy in the treatment of patients with gallstones.Methods 72 patients with gallstones admitted to Yuncheng Chengxin Hospital from May 2020 to March 2023 were divided into control group(n=36)and study group(n=36)by random number table method.The control group underwent laparoscopic cholecystectomy,and the study group underwent double mirror combined gallbladder saving lithotomy.The clinical efficacy,gastrin and motilin,the incidence of complication was compared between the two groups.Results The operation time of study group was longer than that of control group,and the first exhaust time was shorter than that of control group,the differences were statistically significant(both P<0.001;before operation,the levels of gastrin and motilin in two groups were compared,the differences were not statisti-cally significant(both P>0.05),after operation the levels of gastrin and motilin in the postoperative study group were higher than those in the control group,the differences were statistically significant(both P<0.001).The complication rate of the study group(2.78%)was lower than that of the control group(16.67%),the difference was statistically sig-nificant(P<0.05).Conclusion Double mirror combined with gallbladder saving lithotomy has a better effect in the treatment of patients with gallstones.Because it preserves the patient's gallbladder,it has less damage to the patient's body and gastrointestinal function,which is conducive to postoperative recovery of patients,and the risk of complica-tions is low.

Double mirror combined gallbladder saving lithotomyGallstonesClinical effectGastrinMotilinComplication

韩飞、陈修存

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郓城县诚信医院普外科,山东菏泽 274700

双镜联合保胆取石术 胆囊结石 临床疗效 胃泌素 胃动素 并发症

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(5)
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