内镜微创保胆取石术对胆结石患者胆囊收缩功能的影响  

Effect of endoscopic minimally invasive cholecystolithotripsy on gallbladder contractile function in patients with gallstones

作　　者：袁磊 Yuan Lei(Department of Surgery,Tengnan Hospital,Zaozhuang Mining Group,Jining,Shandong,277606,China)

机构地区：[1]枣庄矿业集团滕南医院外科

出　　处：《当代医学》2020年第2期104-106,共3页Contemporary Medicine

摘　　要：目的探讨内镜微创保胆取石术对胆结石的治疗效果及胆囊收缩功能的影响。方法选择2017年8月至2018年8月本院收治的胆囊结石患者78例,随机分为对照组和观察组,各39例。对照组采用常规开腹保胆取石术,观察组采用内镜微创保胆取石术。比较两组手术时间、术后肛门排气时间、平均住院时间、手术前后胆囊收缩功能变化及临床不良反应情况。结果观察组术后肛门排气时间、平均住院时间均明显短于对照组(P<0.05),两组手术时间比较差异无统计学意义;两组治疗前空腹、餐后胆囊容积以及胆囊排空指数比较差异均无统计学意义;治疗后,两组空腹、餐后胆囊容积均减少,胆囊排空指数均增加(P<0.05),观察组治疗后空腹、餐后胆囊容积均少于对照组,胆囊排空指数均高于对照组(P<0.05);观察组不良反应发生率为5.13%明显低于对照组的20.51%(P<0.05)。结论内镜微创保胆取石术对胆囊结石的临床治疗效果显著,术后住院时间短,患者胃肠功能及胆囊收缩功能恢复快,并发症少,临床疗效满意,值得应用推广。Objective To investigate the effect of endoscopic minimally invasive cholecystolithotomy on gallstones and gallbladder contractile function.Methods From August 2017 to August 2018,78 patients with cholecystolithiasis in our hospital were selected as the study subjects.They were randomly divided into control group and observation group,with 39 cases in each group.The control group was treated with routine open choledocholithotomy,while the observation group was treated with endoscopic minimally invasive choledocholithotomy.The operation time,anal exhaust time,average hospitalization time,changes of gallbladder contraction function and clinical adverse reactions before and after operation were compared between the two groups.Results Anal exhaust time and average hospitalization time in the observation group were significantly shorter than those in the control group(P<0.05),and there was no significant difference in the operation time between the two groups.There was no significant difference in the volume of gallbladder before and after meals and the index of gallbladder emptying before treatment between the two groups;after treatment,the volume of gallbladder after meals and fasting decreased,and the index of gallbladder emptying increased in both groups(P<0.05).After treatment,the volume of gallbladder in the observation group was less than that in the control group,and the gallbladder emptying index was higher than that in the control group(P<0.05).The incidence of adverse reactions in the observation group was 5.13%lower than that in the control group 20.51%(P<0.05).Conclusion Endoscopic minimally invasive cholecystolithotripsy has a significant clinical effect on gallstones.The hospital stay is short,the recovery of gastrointestinal function and gallbladder contraction function is fast,the complications are few,and the clinical effect is satisfactory.It is worth popularizing.

关 键 词：胆囊结石 微创术 保胆取石 胆囊收缩功能 

分 类 号：R65[医药卫生—外科学]