内镜与腹腔镜手术联合治疗胆囊管结石的效果及对患者炎症指标的影响  

Effect of Combined Endoscopic Surgery and Laparoscopic Surgery in the Treatment of Cystic Duct Stones and Its Impact on Patients’ Inflammatory Indicators

作　　者：宋治国 刘垒 SONG Zhiguo;LIU Lei(Emergency Department,Zhengzhou Seventh People's Hospital,Zhengzhou 450016,China)

机构地区：[1]郑州市第七人民医院急诊科,河南郑州450016

出　　处：《临床医学工程》2022年第6期771-772,共2页Clinical Medicine & Engineering

摘　　要：目的 探讨内镜与腹腔镜手术联合治疗胆囊管结石的效果及对患者炎症指标的影响。方法 92例胆囊管结石患者随机分为两组各46例,对照组行传统开腹术治疗,研究组行内镜与腹腔镜手术联合治疗,比较两组的手术指标、炎症指标及并发症。结果 研究组的术中出血量少于对照组,术后肠鸣音恢复时间、术后首次肛门排气时间及住院时间均短于对照组,并发症发生率低于对照组(P<0.05)。术后,两组的IL-6、 CRP水平均低于术前,且研究组的IL-6、 CRP水平均低于对照组(P<0.05)。结论 内镜与腹腔镜手术联合治疗胆囊管结石具有创伤小、并发症少及术后恢复快等优点,有助于减轻患者术后机体炎性反应。Objective To explore the effect of combined endoscopic surgery and laparoscopic surgery in the treatment of cystic duct stones and its impact on patients’ inflammatory indicators. Methods 92 patients with cystic duct stones were randomly divided into two groups, with 46 cases in each group. The control group was treated with traditional open surgery, and the study group was treated with combined endoscopic surgery and laparoscopic surgery. The surgical indicators, inflammatory indicators and complications were compared between the two groups. Results The intraoperative blood loss amount in the study group was less than that in the control group, the postoperative bowel sound recovery time, postoperative first anal exhaust time and hospitalization time were shorter than those in the control group, and the incidence of complications was lower than that in the control group(P <0.05). After surgery, the levels of IL-6 and CRP in the two groups were lower than those before surgery, and the levels of IL-6 and CRP in the study group were lower than those in the control group(P<0.05). Conclusions Combined endoscopic surgery and laparoscopic surgery in the treatment of cystic duct stones has the advantages of small trauma, few complications and fast postoperative recovery, which can help reduce postoperative inflammatory reactions of patients.

关 键 词：胆囊管结石 内镜手术 腹腔镜手术 炎症指标 

分 类 号：R575.7[医药卫生—消化系统]