腹腔镜胆囊切除术治疗急性结石性胆囊炎患者的效果及安全性分析被引量：27

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摘要急性结石性胆囊炎属临床常见急腹症,结石阻塞胆囊管使胆汁淤积于胆囊内,引起细菌感染是其主要发病机制[1]。手术切除胆囊是临床治疗急性结石性胆囊炎的有效方法,可使患者临床症状得到明显改善,但手术刺激易使机体产生一定创伤应激反应,进而引起全身性病理变化,影响术后康复[2]。既往研究表明,传统开腹与腹腔镜胆囊切除术均可有效改善急性结石性胆囊炎患者临床症状,与开腹术相比,腹腔镜手术更具微创性,可清晰显示病灶位置及胆囊结构,有利于降低手术创伤,减少术中出血量,进而有效减少术中应激性炎性因子的释放,但两种手术在胃肠功能方面的影响尚缺乏研究[3]。

作者薛战国

机构地区山西省运城市平陆县中医医院外科

出处《中国药物与临床》 CAS 2020年第13期2225-2227,共3页 Chinese Remedies & Clinics

关键词急性结石性胆囊炎腹腔镜胆囊切除术手术刺激主要发病机制腹腔镜手术炎性因子结石阻塞病灶位置

分类号 R657.41 [医药卫生—外科学]

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