腹腔镜下胆囊切除术用于胆囊结石患者的疗效评估分析  

Evaluation and Analysis of the Efficacy of Laparoscopic Cholecystectomy for Patients with Gallbladder Stones

作　　者：杨程富 杨松柏 龙攀 YANG Chengfu;YANG Songbai;LONG Pan(Department of Hepatobiliary Surgery,Tianzhu County People's Hospital,Qiandongnan Miao and Dong Autonomous Prefecture 556600,Guizhou,China)

机构地区：[1]天柱县人民医院肝胆外科,贵州黔东南苗族侗族自治州556600

出　　处：《中外医疗》2024年第17期61-64,共4页China & Foreign Medical Treatment

摘　　要：目的 探析临床为胆囊结石患者规范开展腹腔镜下胆囊切除术的实际疗效。方法 随机选取天柱县人民医院于2022年1月—2023年12月间收治的120例胆囊结石患者作为研究对象,以抽签法将其分为传统组与观察组,各60例。传统组行传统开腹胆囊切除术,观察组行腹腔镜下胆囊切除术。分析不同手术方式下两组术中及术后临床指标、炎症反应指标以及并发症发生情况。结果 观察组患者术中出血量、手术用时优于传统组,观察组患者住院时间、下床活动时间、首次排气时间均短于传统组,差异有统计学意义(P均<0.05)。术前两组胆囊结石患者炎症反应指标水平对比,差异无统计学意义(P>0.05)。术后3 d,观察组白细胞介素-6水平与超敏C反应蛋白水平均低于传统组,差异有统计学意义(P均<0.05)。观察组患者并发症总发生率为5.00%,低于传统组的18.33%,差异有统计学意义(χ^(2)=5.175,P<0.05)。结论 临床为胆囊结石患者科学开展腹腔镜下胆囊切除术既能够缩短整体手术用时、减少术中出血量,又可缩短患者的术后恢复用时,降低炎症反应,同时并发症出现概率更低。Objective To explore the actual efficacy of standardized laparoscopic cholecystectomy for patients with gallbladder stones.Methods 120 cases of gallbladder stone patients admitted to Tianzhu County People's Hospital between January 2022 and December 2023 were randomly selected as the study subjects,and were divided into the traditional group and the observation group by lottery method,each with 60 cases.The traditional group underwent traditional open cholecystectomy and the observation group underwent laparoscopic cholecystectomy.The intraoperative and postoperative clinical indexes,the level of inflammatory response indexes and the occurrence of complications were analyzed in the two groups under different surgical methods.Results The intraoperative bleeding and operation time of patients in the observation group were better than those in the traditional group,and the hospitalization time,time for getting out of bed and time for the first exhaustion of patients in the observation group were shorter than those in the traditional group,the differences were statistically significant(all P<0.05).Comparison of the level of inflammatory reaction indexes between the two groups of gallbladder stone patients before surgery,the difference was not statistically significant(P>0.05).At 3 d postoperatively,the levels of interleukin-6 and hypersensitive C-reactive protein in the observation group were lower than those in the traditional group,and the differences were statistically significant(both P<0.05).The total incidence of complications in the observation group was 5.00%,lower than the 18.33%of the traditional group as well,and the difference was statistically significant(χ^(2)=5.175,P<0.05).Conclusion Laparoscopic cholecystectomy for patients with gallbladder stones can shorten the overall operation time,reduce intraoperative bleeding,shorten the postoperative recovery time,reduce inflammatory reactions,and lower the probability of complications.

关 键 词：胆囊切除术 腹腔镜 胆囊结石 

分 类 号：R657[医药卫生—外科学]