腹腔镜下胆囊切除术联合三金汤加减治疗胆石症临床分析  

作　　者：孙明皓 徐晋[1] 

机构地区：[1]南京中医药大学第二附属医院普外科,江苏南京210017

出　　处：《实用中医药杂志》2021年第8期1312-1314,共3页Journal of Practical Traditional Chinese Medicine

摘　　要：目的:观察腹腔镜下胆囊切除术联合三金汤加减治疗胆石症的临床疗效。方法:90例随机分为观察组和对照组各45例,两组均行腹腔镜胆囊切除术,观察组术后服用三金汤加减治疗。结果:两组手术时间及手术出血量比较差异无统计学意义(P>0.05)。术后首次排气时间、留置引流管时间及术后住院时间观察组均低于对照组(P<0.05)。术后48小时CRP、PCT水平观察组低于对照组(P<0.05)。并发症发生率观察组4.44%,对照组8.89%,两组经细瓷差异无统计学意义(P>0.05)。结论:腹腔镜下胆囊切除术联合三金汤加减治疗胆石症有效且安全,可减轻术后炎症反应,缩短住院时间,促进术后恢复。Objective:To observe the clinical efficacy of laparoscopic cholecystectomy combined with modified Sanjin Decoction in the treatment of cholelithiasis.Methods:Ninety cases were randomly divided into observation group and control group,with 45 cases in each group.Both groups underwent laparoscopic cholecystectomy,and the observation group were treated with modified Sanjin Decoction in addition after operation.Results:There was no significant difference in operation time and blood loss between the two groups(P>0.05).The first postoperative exhaust time,indwelling drainage tube time and postoperative hospital stay in the observation group were lower than those in the control group(P<0.05).The CRP and PCT levels in the observation group were lower than those in the control group at 48 hours after surgery(P<0.05).The complication rate was 4.44%in the observation group and 8.89%in the control group.There was no statistically significant difference between the two groups(P>0.05).Conclusion:Laparoscopic cholecystectomy combined with modified Sanjin Decoction is effective and safe in the treatment of cholelithiasis.It can reduce postoperative inflammation,shorten hospital stay,and promote postoperative recovery.

关 键 词：胆石症 腹腔镜下胆囊切除术 三金汤加减 对照治疗观察 

分 类 号：R657.42[医药卫生—外科学]