可吸收医用膜在二期胆囊切除术中的防粘连作用  

Anti adhesion effects of absorbable medical membrane in stage two cholecystectomy

作　　者：范中宝 沈建芬[2] 柳青峰 廉皓 FAN Zhongbao;SHEN Jianfen;LIU Qingfeng;LIAN Hao(The First Department of General Surgery,People’s Hospital of China Medical UniversityPeople’s Hospital of Liaoning Province,Liaoning Province,Shenyang110001,China;Cardiovascular Medicine Department,the First Affiliated Hospital of China Medical University,Liaoning Province,Shenyang110001,China)

机构地区：[1]中国医科大学人民医院辽宁省人民医院普外一科,辽宁沈阳110001 [2]中国医科大学附属第一医院心内科,辽宁沈阳110001

出　　处：《中国医药导报》2021年第8期133-136,共4页China Medical Herald

摘　　要：目的观察迪康可吸收医用膜在二期胆囊切除术中预防粘连的效果。方法选取2017年1月—2019年1月中国医科大学人民医院收治的120例胆囊结石伴胆囊炎患者,按随机数字表法分为对照组和观察组,各60例。对照组行腹腔镜下保胆取石、胆囊造瘘术,观察组在对照组基础上将迪康可吸收医用膜覆盖于胆囊表面和胆囊三角。比较两组二期手术情况、二期手术粘连情况、一期术后随访1、2、3个月术区疼痛情况。结果观察组手术时间短于对照组,术中出血量少于对照组,中转开腹率低于对照组,差异有统计学意义(P<0.05)。观察组手术粘连程度明显轻于对照组,差异有统计学意义(P<0.05)。观察组术后1、2、3个月术区疼痛发生率及视觉模拟评分均低于对照组,差异有统计学意义(P<0.05)。结论迪康可吸收医用膜可有效预防外科术后局部组织粘连。Objective To observe the efficacy of Dikang absorbable medical membrane in preventing adhesion during stage two cholecystectomy.Methods One hundred and twenty patients with cholecystolithiasis and cholecystitis admitted to People’s Hospital of China Medical University from January 2017 to January 2019 were selected and divided into control group and observation group according to random number table method,60 cases in each group.Control group was treated with laparoscopic cholecystolithotomy and cholecystostomy;on the basis of control group,observation group covered the gallbladder surface and gallbladder triangle with Dikang absorbable medical membrane.The second stage operation situation,the second stage operation adhesion,the first stage postoperative follow-up one,two,three months operation area pain of two groups were compared.Results The operation time of observation group was shorter than that of control group,the intraoperative blood loss of observation group was less than that of control group,and the conversion rate of observation group was lower than that of control group,the differences were statistically significant(P<0.05).The degree of adhesion in observation group was significantly lighter than that in control group,the difference was statistically significant(P<0.05).The incidence rate of postoperative pain and visual simulation score in observation group were lower than those in control group at one,two,three months after operation,and the differences were statistically significant(P<0.05).Conclusion Dikang absorbable medical membrane can effectively prevent local tissue adhesion after surgery.

关 键 词：可吸收医用膜 粘连 胆囊结石 二期手术 

分 类 号：R657.4[医药卫生—外科学]