腹腔镜胆囊造瘘并胆道冲洗在胆汁淤积患儿中的应用研究  

Application of laparoscopic cholecystostomy combined with biliary irrigation in children with cholestasis

作　　者：赵孟天 左伟 高威 ZHAO Meng-tian;ZUO Wei;GAO Wei(Anhui Provincial Children's Hospital,Hefei 230059,Anhui)

机构地区：[1]安徽省儿童医院新生儿外科,安徽合肥230059

出　　处：《安徽医专学报》2024年第2期33-35,共3页Journal of Anhui Medical College

摘　　要：目的:探讨在胆汁淤积患儿中应用腹腔镜胆囊造瘘合并胆道冲洗干预的临床意义。方法:收集某医院新生儿外科诊疗的60例胆汁淤积患儿,按电脑抽号法分为两组,其中胆囊造瘘组20例患儿应用腹腔镜胆囊造瘘治疗,保守治疗组40例患儿应用常规保守治疗,对比两组差异。结果:胆囊造瘘组患儿治疗后的治疗效果(提升)、生活质量(提升)、炎性因子水平(降低)均优于保守治疗组(P<0.05);胆囊造瘘组患儿的不良反应发生率低于保守治疗组(P<0.05)。结论:对于胆汁淤积患儿而言,采用腹腔镜胆囊造瘘合并胆道冲洗对患儿进行治疗,其治疗效果较好。Objective:To analyze the clinical significance of laparoscopic cholecystectomy combined with biliary irrigation in children with cholestasis.Methods:A total of 60 children with cholestasis treated in the neonatal surgery department of hospital were collected and divided into 2 groups according to the computer sampling method,including 20 cases in the cholecystostomy group as the study group and 40 cases in the conservative treatment group as the conventional group,corresponding to laparoscopic cholecystostomy treatment and conservative treatment,respectively.The differences between the two groups were compared.Results:Compared with the conventional group,the therapeutic effect(increased),quality of life(increased)and inflammatory factor level(decreased)in the study group were better than those in the conventional group(P<0.05).The incidence of adverse reactions in the study group was lower than that in the conventional group(P<0.05).Conclusion:For cholestasis children,laparoscopic cholecystostomy combined with biliary irrigation is a good treatment effect.

关 键 词：腹腔镜胆囊造瘘 胆道冲洗 胆汁淤积 

分 类 号：R473.6[医药卫生—护理学]