腹腔镜胆囊切除术治疗对胆囊结石并发胆囊炎患者手术相关指标及肝功能的影响  

Effect of Laparoscopic Cholecystectomy on Surgical Related Indicators and Liver Function in Patients with Gallstones Complicated with Cholecystitis

作　　者：侯晓翔 于建全 刘磊 HOU Xiaoxiang;YU Jianquan;LIU Lei(Department of No.1 General Surgery,Shouguang Traditional Chinese Medicine Hospital,Shouguang 262700,China)

机构地区：[1]寿光市中医医院普外一科,山东寿光262700

出　　处：《反射疗法与康复医学》2025年第5期124-127,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的 探讨腹腔镜胆囊切除术(LC)治疗对胆囊结石并发胆囊炎患者的影响。方法 回顾性分析2022年5月—2024年7月寿光市中医医院收治的102例胆囊结石并发胆囊炎患者的临床资料,根据不同治疗方法将其分为对照组和观察组,各51例。对照组采取开腹手术治疗,观察组采取LC治疗。对比两组的手术相关指标、肝功能、炎症指标、并发症发生情况。结果 观察组肛门排气时间、下床活动时间及住院时间均短于对照组,术中出血量少于对照组,术后24 h疼痛视觉模拟评分低于对照组,组间差异有统计学意义(P<0.05)。术后24 h,观察组谷草转氨酶、谷丙转氨酶、总胆红素水平均低于对照组,组间差异有统计学意义(P<0.05);观察组C反应蛋白、降钙素原、血清淀粉样蛋白A水平均低于对照组,组间差异有统计学意义(P<0.05)。观察组并发症发生率为3.92%,低于对照组的17.64%,差异有统计学意义(P<0.05)。结论 LC治疗胆囊结石并发胆囊炎患者的创伤小,术后肝功能、炎症指标恢复快,且并发症少。Objective Exploring the effect of laparoscopic cholecystectomy(LC)on patients with gallstones complicated with cholecystitis.Methods Retrospective analysis of clinical data of 102 patients with gallstones complicated with cholecystitis admitted to Shouguang Traditional Chinese Medicine Hospital from May 2022 to July 2024,according to different treatment methods,they were divided into a control group and an observation group,with 51 cases in each group.The control group received open surgery treatment,while the observation group received LC treatment.Compare the surgical related indicators,liver function,inflammatory indicators,and occurrence of complications between the two groups.Results The anal exhaust time,ambulation time,and hospitalization time in the observation group were shorter than those of the control group,the intraoperative bleeding volume was less than that of the control group,and the postoperative 24-hour pain Visual Analogue Scale score was lower than that of the control group,the differences between the groups were statistically significant(P<0.05).Twenty-four hours after surgery,the levels of aspartate aminotransferase,alanine aminotransferase,and total bilirubin in the observation group were lower than those in the control group,the differences between the groups were statistically significant(P<0.05);the average levels of C-reactive protein,procalcitonin,and serum amyloid A in the observation group were lower than those in the control group,the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 3.92%,which was lower than the 17.64%in the control group,the difference was statistically significant(P<0.05).Conclusion LC treatment for patients with gallstones complicated with cholecystitis has minimal trauma,fast recovery of postoperative liver function and inflammatory indicators,and fewer complications.

关 键 词：胆囊结石 胆囊炎 腹腔镜胆囊切除术 手术相关指标 肝功能 炎症指标 

分 类 号：R575.6[医药卫生—消化系统]