双镜联合微创保胆术治疗结石嵌顿性胆囊炎的疗效观察  

Curative effect of minimally invasive gallbladder preservation with double mirrors in treatment of calculous incarcerated cholecystitis

作　　者：李星瑶 LI Xingyao(Department of Hepatobiliary Surgery,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan 471000,China)

机构地区：[1]河南科技大学第一附属医院肝胆外科,河南洛阳471000

出　　处：《中国医学工程》2021年第6期50-53,共4页China Medical Engineering

摘　　要：目的探讨双镜联合微创保胆术治疗结石嵌顿性胆囊炎的疗效。方法回顾性分析2018年2月至2019年1月河南科技大学第一附属医院69例结石嵌顿性胆囊炎患者的临床资料,根据采取的不同手术方式分为A组(腹腔镜胆囊切除术) 35例和B组(双镜微创保胆术) 34例。比较两组手术指标,对比两组术前及术后24 h时胃肠激素水平,并统计两组术后并发症发生情况。结果 B组术中出血量少于A组,手术时间长于A组,住院时间短于A组(P<0.05);术后24 h后,两组血清胃动素(MTL)、胃泌素(GAS)-17均较术前低,但B组高于A组(P<0.05);术后住院期间,B组并发症发生率低于A组(P<0.05)。结论双镜联合微创保胆术用于结石嵌顿性胆囊炎中,能有效降低术中出血量,对患者胃肠道的影响较小,且能减少术后并发症发生情况,减少住院时间,利于患者康复。【Objective】To investigate the effect of minimally invasive gallbladder preservation with double mirrors in the treatment of calculous incarcerated cholecystitis.【Methods】The clinical data of 69 patients with calculous incarcerated cholecystitis treated in our hospital from January 2018 to January 2019 were retrospectively analyzed.According to the different surgical methods,they were divided into group A(laparoscopic cholecystectomy,35 cases)and group B(minimally invasive gallbladder preservation with double mirrors,34 cases).The surgical indicators of the two groups were compared,the gastrointestinal hormone levels before and 24 hours after the operation were compared between the two groups,and the incidence of postoperative complications in the two groups was also counted.【Results】The intraoperative blood loss of group B was less than that of group A,the operation time was longer than that of group A,and the hospital stay was shorter than that of group A;24 hours after the operation,the levels of serum motilin(MTL)and gastrin(GAS)-17 in both groups were lower than those before operation,but group B was higher than group A,and the difference was statistically significant(P<0.05);during the postoperative hospitalization,the incidence of postoperative complications in group B was lower than that in group A,and the difference was statistically significant(P<0.05).【Conclusion】The minimally invasive gallbladder preservation with double mirrors surgery can effectively reduce the amount of intraoperative blood loss in treating calculous incarcerated cholecystitis,has little impact on the patient's gastrointestinal tract,and can reduce postoperative complications,reduce hospital stay,and is conducive to the recovery of patients.

关 键 词：结石嵌顿性胆囊炎 腹腔镜胆囊切除术 双镜微创保胆术 并发症 

分 类 号：R657.41[医药卫生—外科学]