腹腔镜微创手术治疗胆源性胰腺炎的效果分析  

Analysis of the Effect of Minimally Invasive Laparoscopic Surgery for Biliary Pancreatitis

作　　者：吴启宏 WU Qihong(Department of Surgery,Feixian Hospital of Traditional Chinese Medicine,Linyi 273400,Shandong,China)

机构地区：[1]费县中医医院外科,山东临沂273400

出　　处：《中外医疗》2024年第24期35-38,共4页China & Foreign Medical Treatment

摘　　要：目的 分析腹腔镜微创手术治疗胆源性胰腺炎的临床效果。方法 随机选取2021年12月—2023年12月费县中医医院接受手术治疗的80例胆源性胰腺炎患者为研究对象,依据不同治疗方法分为观察组和对照组,每组40例。对照组采用开腹胆囊切除术治疗,观察组采取腹腔镜微创手术治疗,比较两组患者手术指标、炎性因子和并发症发生率。结果 观察组手术时间、术后下床活动时间、术后排气时间和住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P均<0.05)。术后,两组患者各项炎性因子水平均高于术前,但观察组低于对照组,差异有统计学意义(P均<0.05)。观察组并发症发生率为2.50%(1/40),低于对照组的20.00%(8/40),差异有统计学意义(χ^(2)=4.507,P<0.05)。结论 胆源性胰腺炎患者应用腹腔镜微创手术治疗,可获得较好的手术效果,可减少患者术中出血量和术后并发症的发生,缩短术后机体恢复时间。Objective To analyze the clinical effect of minimally invasive laparoscopic surgery in the treatment of biliary pancreatitis.Methods A total of 80 patients with biliary pancreatitis who received surgical treatment in Feixian Hospital of Traditional Chinese Medicine from December 2021 to December 2023 were randomly selected as the study objects,and were divided into observation group and control group according to different treatment methods,with 40 cases in each group.The control group was treated with open cholecystectomy,and the observation group was treated with laparoscopic minimally invasive surgery.The surgical indexes,inflammatory factors and incidence of complications were compared between the two groups.Results The operation time,postoperative getting out of bed time,postoperative exhaust time and hospitalization time 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 differences were statistically significant(all P<0.05).After operation,the levels of various inflammatory factors in two groups were higher than before operation,but the observation group were lower than the control group,the differences were statistically significant(all P<0.05).The incidence of complications in the observation group was 2.50%(1/40),which was lower than that in the control group 20.00%(8/40),and the difference was statistically significant(χ^(2)=4.507,P<0.05).Conclusion Laparoscopic minimally invasive surgery for patients with biliary pancreatitis can achieve better surgical results,reduce the amount of intraoperative blood loss and postoperative complications,and shorten the postoperative recovery time.

关 键 词：胆源性胰腺炎 腹腔镜微创手术 效果分析 

分 类 号：R657.51[医药卫生—外科学]