微创保胆取石术与腹腔镜胆囊切除术治疗胆结石的效果  

Effect of Minimally Invasive Gallbladder Saving Lithotomy and Laparoscopic Cholecystectomy in the Treatment of Gallstones

作　　者：王彦 王彩艳 Wang Yan;Wang Caiyan(Qingdao Hospital of Peking University People's Hospital,Women and Children's Hospital Affiliated to Qingdao University,Qing-dao 266111,Shandong Province,China;Qingdao Chengyang District Liuting Street Health Center,Qingdao 266108,Shandong Province,China)

机构地区：[1]北京大学人民医院青岛医院,青岛大学附属妇女儿童医院,山东青岛266111 [2]青岛市城阳区流亭街道卫生院,山东青岛266108

出　　处：《中外医药研究》2024年第10期36-38,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析微创保胆取石术与腹腔镜胆囊切除术治疗胆结石的效果.方法:选取2021年1月—2023年3月城阳区第二人民医院收治的胆结石患者70例作为研究对象,随机数字表法分为对照组和观察组,各35例.比较两组手术指标、胃肠功能、炎性指标及并发症发生情况.结果:观察组手术时间、首次排气时间、下床活动时间、住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.001);术后,两组胃动素降低,观察组高于对照组,两组胃泌素升高,观察组低于对照组,差异有统计学意义(P<0.05);术后,两组C反应蛋白、总蛋白均降低,观察组低于对照组,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=0.032).结论:微创保胆取石术与腹腔镜胆囊切除术相比,更能降低术后并发症,改善胃肠功能以及炎性反应,有助于促进患者康复.Objective:To analyze the effect of minimally invasive gallbladder saving lithotomy and laparoscopic cholecystectomy in the treatment of gallstones.Methods:Seventy patients with gallstones admitted to Chengyang District Second People's Hospital from January 2021 to March 2023 were selected as the study objects,and were divided into control group and observation group by random number table method,with thirty-five cases in each group.The surgical indexes,gastrointestinal function,inflammatory indexes and complications were compared between the two groups.Results:The operation time,the first exhaust time,the time of getting out of bed and the time of hospitalization in the observation group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,the difference was statistically significant(P<0.001);after operation,motilin decreased in both groups,observation group was higher than control group,gastrin increased in both groups,observation group was lower than control group,the difference was statistically significant(P<0.05);after operation,C-reactive protein and total protein were decreased in both groups,and the observation group was lower than the control group,the difference was statistically significant(P<0.05);the complication rate of the observation group was lower than that of the control group,and the difference was statistically significant(P=0.032).Conclusion:Compared with laparoscopic cholecystectomy,minimally invasive gallbladder saving lithotomy can reduce postoperative complications,improve gastrointestinal function and inflammatory response,and contribute to the recovery of patients.

关 键 词：微创保胆取石术 腹腔镜胆囊切除术 胆结石 胃肠功能 并发症 

分 类 号：R657.42[医药卫生—外科学]