腹腔镜胆囊切除术治疗胆源性急性胰腺炎的临床效果分析  

Clinical Effect Analysis of Laparoscopic Cholecystectomy in Treatment of Biliary Acute Pancreatitis

作　　者：郑皓文 韩美伊 Zheng Haowen;Han Meiyi(Department of General Surgery,The First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000,Liaoning Province,China)

机构地区：[1]锦州医科大学附属第一医院普外科,辽宁锦州121000

出　　处：《中国社区医师》2025年第3期39-41,共3页Chinese Community Doctors

摘　　要：目的:分析腹腔镜胆囊切除术治疗胆源性急性胰腺炎的临床效果。方法:选取2022年6月—2024年6月于锦州医科大学附属第一医院行手术治疗的胆源性急性胰腺炎患者106例作为研究对象,根据随机数字表法分为对照组和研究组,每组53例。对照组采用常规手术治疗,研究组采用腹腔镜胆囊切除术治疗。比较两组围术期指标、炎性因子水平及并发症发生率。结果:研究组术中出血量比对照组少,手术时间、术后排气恢复时间、住院时间比对照组短,术后24 h疼痛评分比对照组低(P<0.05)。术后3 d,两组肿瘤坏死因子-α、C反应蛋白、白细胞介素-6水平均低于术前,且研究组低于对照组(P<0.05)。研究组并发症总发生率低于对照组(P=0.014)。结论:腹腔镜胆囊切除术治疗胆源性急性胰腺炎的临床效果较好,能够减少术中出血量,缩短手术时间,减轻疼痛,降低炎性因子水平和并发症发生率,促进患者恢复。Objective:To analyze the clinical effect of laparoscopic cholecystectomy in treatment of biliary acute pancreatitis.Methods:A total of 106 patients with biliary acute pancreatitis who underwent surgical treatment in the First Affiliated Hospital of Jinzhou Medical University from June 2022 to June 2024 were selected as the study subjects.According to the random number table method,the patients were divided into a control group and a study group,with 53 patients in each group.The control group was treated with conventional surgical procedures,while the study group was treated with laparoscopic cholecystectomy.Perioperative indicators,levels of inflammatory factors,and incidence of complications were compared between two groups.Results:The intraoperative blood loss in the study group was less than that in the control group,the surgical time,postoperative anal exhaust recovery time,and length of hospital stay in the study group were shorter than those in the control group,and the postoperative 24 h pain score in the study group was lower than that in the control group(P<0.05).On 3 d after operation,the levels of tumor necrosis factor-α,C-reactive protein and interleukin-6 in the two groups were lower than those before operation,and the levels in the study group were lower than those in the control group(P<0.05).The total incidence of complications in the study group was lower than that in the control group(P=0.014).Conclusion:Laparoscopic cholecystectomy has better clinical effects in treatment of biliary acute pancreatitis,and can reduce intraoperative blood loss,shorten the surgical time,relieve the pain,decrease the levels of inflammatory factors and the incidence of complications,and promote the recovery of patients.

关 键 词：胆源性急性胰腺炎 腹腔镜胆囊切除术 并发症 炎性因子 

分 类 号：R657.4[医药卫生—外科学]