首页|胆囊后三角入路与胆囊三角入路腹腔镜胆囊切除术治疗胆囊结石伴慢性胆囊炎的临床比较

胆囊后三角入路与胆囊三角入路腹腔镜胆囊切除术治疗胆囊结石伴慢性胆囊炎的临床比较

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目的 探讨胆囊后三角入路和胆囊三角入路腹腔镜胆囊切除术治疗胆囊结石伴慢性胆囊炎中的效果。方法 选取2020年1月—2022年12月本院收治的102例患者为研究对象,根据手术入路方式不同分为两组,每组51例。对照组接受胆囊三角入路实施腹腔镜手术,观察组接受胆囊后三角入路开展腹腔镜手术。对两组患者手术指标、炎症因子水平以及并发症情况进行对比。结果 实验组手术指标优于对照组(P<0。05);实验组炎症因子水平在术前与对照组无统计学意义(P>0。05);术后,均改善,实验组炎症因子改善水平高于对照组(P<0。05);实验组并发症发生率低于对照组,组间数据具有统计学意义(P<0。05)。结论 腹腔镜胆囊切除术胆囊后三角入路效果更为确切,不仅手术指标更优,而且对胆囊结石伴慢性胆囊炎患者机体影响较小,可降低患者炎症反应,手术方式值得推广。
Clinical Comparison of Laparoscopic Cholecystectomy through Posterior Gallbladder Triangle Approach and Gallbladder Triangle Approach for Gallstones with Chronic Cholecystitis
Objective To explore effect of laparoscopic cholecystectomy through posterior triangle approach and gallbladder triangle approach in treatment of gallstones with chronic cholecystitis.Methods The paper chose 102 patients in to our hospital from January 2020 to December 2022,and divided them into two groups based on different surgical approaches.51 cases in control group were treated with laparoscopic surgery through gallbladder triangle approach;51 cases in observation group with laparoscopic surgery through posterior triangle approach of the gallbladder.Surgical indicators,levels of inflammatory factors,and complications were compared between two groups.Results Surgical indicators of experimental group were better than control group(P<0.05).There was no statistically significant difference in levels of inflammatory factors between experimental group and control group before surgery(P>0.05).After surgery,improvement level of inflammatory factors in experimental group was higher than control group(P<0.05).Incidence of complications in experimental group was lower than control group(P<0.05),inter group data were statistically significant.Conclusion Laparoscopic cholecystectomy posterior triangular approach can achieve more accurate effect,with better surgical indicators,less effect on body of patients with gallstones and chronic cholecystitis,which can reduce inflammatory response of patients,and is worthy of promotion.

Gallbladder stones with chronic cholecystitisLaparoscopic cholecystectomyPosterior triangular approach to gallbladderGallbladder triangular approach

朱黄玲

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启东市第三人民医院 普外科,江苏 启东 226200

胆囊结石伴慢性胆囊炎 腹腔镜胆囊切除术 胆囊后三角入路 胆囊三角入路

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(5)
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