Rouviere沟引导定位腹腔镜胆囊切除术与传统定位手术的对比分析  

Comparative analysis of Rouviere groove guided positioning and traditional positioning in laparoscopic cholecystectomy

作　　者：郑晨[1] 李守帅[1] 周鹏 刘云峰[1] 

机构地区：[1]陕西省西安市中心医院普外科,710003

出　　处：《检验医学与临床》2017年第19期2890-2892,2896,共4页Laboratory Medicine and Clinic

摘　　要：目的分析Rouviere沟引导定位腹腔镜胆囊切除术与传统定位手术的效果。方法选取2015年4月至2016年4月于该院行腹腔镜胆囊切除术患者108例,按照抽签法分为对照组和研究组,各54例,对照组予以传统定位,研究组予以Rouviere沟引导定位,比较两组治疗后总胆红素(TBIL)、天门冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)、炎性因子、一氧化氮(NO)、内皮素(ET)水平,以及氧化应激、免疫功能、手术时间和并发症发生率。结果治疗后,研究组TBIL、AST、ALT水平低于对照组,研究组炎性因子水平优于对照组,研究组NO、ET水平高于对照组,研究组氧化应激、免疫功能均优于对照组,研究组手术时间少于对照组,研究组并发症率低于对照组,差异均有统计学意义(P<0.05)。结论 Rouviere沟引导定位腹腔镜胆囊切除术的临床效果优于传统定位手术。Objective To analyze the effect of Rouviere groove guided positioning and traditional positioning in laparoscopic cholecystectomy.Methods One hundred and eight cases of laparoscopic cholecystectomy in the hospital from April 2015 to April2016were collected and divided into the control group and research group according to the draw method,54 cases.The control group adopted the traditional positioning,while the research group was given the Rouviere groove guided positioning.Total bilirubin（TBIL）,aspertate aminotransferase（AST）,alanine aminotransferase（ALT）,inflammatory factors and nitric oxide（NO）,endothelin（ET）,oxidative stress,immune function,operation time and complication rate after treatment were compared between the two groups.Results after treatment,the levels of TBIL,AST and ALT after treatment in the research group were lower than those in the control group,while the inflammation factor was better than that in the control group,the NO and ET levels were higher than those in the control group,the oxidative stress and immune function were superior to those in the control group,the operation time was less than that in the control group and the complication rate was lower than that in the control group,the differences were statistically significant（P〈0.05）.Conclusion Laparoscopic cholecystectomy by Rouviere groove guided positioning has better clinical effect than that in the traditional positioning operation.

关 键 词：腹腔镜胆囊切除术 Rouviere沟引导定位 传统定位 效果 

分 类 号：R657.4[医药卫生—外科学]