Clinical application of selective endoscopic transgastric gallbladder-preserving cholecystolithotomy in patients with gallstones after measuring gallbladder function with specific food
Objective To investigate the clinical efficacy of selective endoscopic transgastric gallbladder-preserving cholecystolithotomy in patients with gallstones after measuring gallbladder function with specific food.Methods The data of 80 patients with gallstones admitted to Korla Hospital,the Second Division of Xinjiang Production and Construction Corps from September 2021 to June 2023 were retrospectively collected.All patients were tested for gallbladder function by specific food before treatment,and the treatment methods were selected according to the gallbladder function.According to different treatment methods,the patients were divided into the control group(n=37,treated with conservative drugs in internal medicine.Gallbladder contraction rate 40%-79%,accompanied by mild symptoms)and the treatment group(n=53,underwent endoscopic transgastric gallbladder-preserving cholecystolithotomy.Gallbladder contraction rate 40%-59%,gallbladder wall thickness≤3 mm).The gallbladder contraction function and stone removal effect were compared between the two groups.Results The gallbladder contraction rate and gallbladder emptying rate in the treatment group after 1 month,3 months and 6 months of treatment were higher than those before treatment and higher than those in the control group,with statistically significant differences(P<0.05).In the control group,there were no statistically significant differences in gallbladder contraction rate and gallbladder emptying rate before treatment,and 1 month,3 months and 6 months after treatment(P>0.05).The effect of removing stones in the treatment group was superior to that in the control group,with statistically significant difference(P<0.05).Conclusion The selective endoscopic transgastric gallbladder-preserving cholecystolithotomy in patients with gallstones after measuring gallbladder function with specific food can improve the gallbladder contraction function,and the stone removal effect is good.
万方数据
维普
