摘要
目的 探析腹腔镜下胆囊切除术治疗胆结石的效果及患者并发症率。方法 回顾性统计并筛选在2019年5月-2022年5月在本院开展胆结石手术治疗患者60例作为此次研究对象,采用入院病历登记先后顺序分为2组,基础组采用常规治疗,探究组采用腹腔镜下手术切除治疗,对比其临床效果。结果 探究组病患治疗总效率与基础组总效率相比较高,差异有统计学意义(P<0.05)。探究组患者手术时间、住院时间、排气时间等指标与基础组相比较明显缩短,且疼痛程度较基础组减轻,术中出血量与基础组相比明显减少,数据存在差异性(P<0.05)。探究组患者并发症发生率较基础组低,差异有统计学意义(P<0.05)。探究组患者白细胞介素-6、肿瘤坏死因子、C反应蛋白等指标水平较基础组明显降低,有极大差异性(P<0.05)。探究组病患生活质量总体健康程度较基础组更优,有较大差异性(P<0.05)。结论 针对胆结石患者开展腹腔镜下胆囊切除术治疗效果更理想,明显减少术中出血量,减轻术后疼痛感,还明显降低并发症率,缩短治疗时间,加速术后康复进程,提高生活质量,临床推广应用价值极高。
Objective To explore effect and complication incidence of laparoscopic cholecystectomy in treatment of cholelithiasis.Methods The paper reviewed and analyzed 60 patients with surgical treatment for cholelithiasis in our hospital from May 2019 to May 2022 as study objects,a nd divided them into two groups based on sequence of admission medical records.Basic group was treatd with routine treatment,while exploration group with laparoscopic surgical resection treatment.Clinical effect was compared between two groups.Results Total treatment effect of exploration group was higher than basic group,difference was statistically significant(P<0.05).Surgical time,length of stay,exhaust time and other indicators of exploration group was significantly shorter than basic group,pain degree was less than basic group.Intraoperative bleeding volume was significantly less than basic group,with difference in data(P<0.05).Incidence of complications in exploration group was lower than basic group,difference was statistically significant(P<0.05).Levels of interleukin-6,tumor necrosis factor,C-reactive protein and other indicators in exploration group were significantly lower than basic group,with significant difference(P<0.05).Overall life quality and health in exploration group was better than basic group,with significant difference(P<0.05).Conclusion Laparoscopic cholecystectomy can achieve significant effect for cholelithiasis patients,can reduce amount of intraoperative bleeding,relieve postoperative pain,reduce complications incidence,shorten treatment time,accelerate the postoperative rehabilitation process,improve life quality significantly,which has great value in clinical application.
作者
刘正勇
LIU Zhengyong(Surgery Department,Rugao City Traditional Chinese Medicine Hospital,Rugao,Jiangsu 226500)
出处
《智慧健康》
2023年第13期81-84,93,共5页
Smart Healthcare
关键词
腹腔镜下胆囊切除术
胆结石
效果
并发症率
Laparoscopic cholecystectomy
Cholelithiasis
Effect
Complication incidence
