首页|腹腔镜胆囊切除术在胆囊结石伴慢性胆囊炎患者中的诊疗效果分析

腹腔镜胆囊切除术在胆囊结石伴慢性胆囊炎患者中的诊疗效果分析

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目的 评估胆囊结石(Gallstone,GS)伴慢性胆囊炎(Chronic Cholecystitis,CC)患者接受腹腔镜胆囊切除术(Laparoscopic Cholecystectomy,LC)的诊疗效果.方法 选取京山市人民医院于2022年1-12月收治的88例GS伴CC患者为研究对象,依据随机数表法分为对照组与观察组,各44例.对照组给予小切口胆囊切除术(Minilaparotomy Cholecystectomy,MC),观察组给予LC,比较两组围手术期指标、炎性因子、肝功能、并发症.结果 观察组围手术期指标均优于对照组,差异有统计学意义(P均<0.05);观察组并发症发生率(2.27%)低于对照组(13.64%),差异有统计学意义(χ2=3.880,P<0.05);术前,两组炎性因子、肝功能比较,差异无统计学意义(P均>0.05),术后1 d,观察组炎性因子、肝功能更佳,差异有统计学意义(P均<0.05).结论 对GS伴CC患者实施LC,可以减少并发症,减轻炎症反应,优化围手术期参数,加之不易损伤肝脏功能,值得临床借鉴.
Analysis of the Treatment Effect of Laparoscopic Cholecystectomy in Pa-tients with Gallbladder Stones Accompanied by Chronic Cholecystitis
Objective To evaluate the efficacy of Laparoscopic Cholecystectomy(LC)for patients with Gallstone(GS)combined with Chronic Cholecystitis(CC).Methods A total of 88 patients with GS and CC treated in Jingshan People's Hospital from January to December 2022 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 44 cases in each group.The control group was given Minilaparotomy Cholecystectomy(MC),and the observation group was given LC.Perioperative in-dexes,inflammatory factors,liver function and complications were compared between the two groups.Results Periop-erative indexes of the observation group were better than those of the control group,and the difference was statistically significant(all P<0.05).The complication rate of the observation group(2.27%)was lower than that of the control group(13.64%),and the difference was statistically significant(χ2=3.880,P<0.05).Before surgery,there was no statis-tical significance in inflammatory factors and liver function between the two groups(all P>0.05).1 day after surgery,inflammatory factors and liver function in the observation group were better,and the differences were statistically sig-nificant(all P<0.05).Conclusion LC for patients with GS and CC can reduce complications,reduce inflammatory re-sponse,optimize perioperative parameters,and is not easy to damage liver function,which is worth clinical reference.

Laparoscopic cholecystectomyGallbladder stonesChronic cholecystitis

徐常客、黎发家、郑福俊

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京山市人民医院普外一科,湖 北京山 431800

京山市人民医院重症医学科,湖 北京山 431800

腹腔镜胆囊切除术 胆囊结石 慢性胆囊炎

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(11)