改良式腹腔镜胆囊切除术与标准腹腔镜胆囊切除术治疗急性结石性胆囊炎临床效果分析  

Analysis of Clinical Effects of Modified Laparoscopic Cholecystectomy and Standard Laparoscopic Cholecystectomy in Treatment of Acute Calculous Cholecystitis

作　　者：袁洪涛[1] 蒋天盛[1] 李泽朝 陈果[1] Yuan Hong-tao;Jiang Tian-sheng;Li Ze-chao;Chen Guo(Department of Hepatobiliary Surgery,The First People's Hospital of Guiyang,Guiyang 550000,Guizhou Province,China)

机构地区：[1]贵阳市第一人民医院肝胆外科,贵州贵阳550000

出　　处：《中国社区医师》2023年第7期71-73,共3页Chinese Community Doctors

基　　金：贵阳市科技局科技计划项目(编号:筑科合同【2018】1-30号)。

摘　　要：目的:探讨改良式腹腔镜胆囊切除术(LC)与标准LC治疗急性结石性胆囊炎的临床效果。方法:选取2020年6月—2022年6月贵阳市第一人民医院收治的66例急性结石性胆囊炎患者作为研究对象,按随机数字表法分为对照组和观察组,各33例。对照组行标准LC治疗,观察组行改良式LC治疗。比较两组手术情况、炎症水平、生活质量及并发症发生情况。结果:观察组手术时间、住院时间、腹痛缓解时间及引流管拔除时间为短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);观察组术后C反应蛋白、肿瘤坏死因子-α、白细胞介素-6水平低于对照组,差异有统计学意义(P<0.05);观察组生理、心理、社会及环境领域评分高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:改良式LC治疗急性结石性胆囊炎效果较佳,可减轻手术创伤,缩短术后腹痛缓解时间、引流管拔除时间,且并发症少,利于改善患者术后生活质量。Objective:To explore the clinical effects of modified laparoscopic cholecystectomy(LC)and standard LC in the treatment of acute calculous cholecystitis.Methods:A total of 66 patients with acute calculous cholecystitis admitted to the First People's Hospital of Guiyang from June 2020 to June 2022 were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 33 cases in each group.The control group was treated with standard LC,while the observation group was treated with modified LC.The operation situation,inflammation level,quality of life and occurrence of complications were compared between the two groups.Results:The operation time,hospitalization time,abdominal pain relief time and drainage tube removal time in the observation group were shorter than those in the control group,the intraoperative blood loss in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).The postoperative levels of C-reactive protein,tumor necrosis factor-αand interleukin-6 in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The scores of physical,psychological,social and environmental fields in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Modified LC has a better effect in the treatment of acute calculous cholecystitis,which can alleviate surgical trauma,shorten postoperative abdominal pain relief time and drainage tube removal time,and has fewer complications,it is beneficial to improve the quality of life of patients after operation.

关 键 词：急性结石性胆囊炎 改良式腹腔镜胆囊切除术 标准腹腔镜胆囊切除术 

分 类 号：R657.4[医药卫生—外科学]