摘要
目的探讨内镜微创保胆取石术治疗胆囊结石伴慢性胆囊炎的安全性及并发症的发生情况。方法选择喀什地区第一人民医院普外一科2017年3月至2020年5月200例胆囊结石伴慢性胆囊炎病例,其中100例(对照组)行腹腔镜胆囊切除术做回顾性分析,均顺利完成手术,因钛夹脱略发生1例胆漏,急诊行探查缝扎腹腔冲洗引流治愈,2例发生顽固性腹泻,经饮食调理1年后缓解,另100例(观察组)符合标准的病人行内镜微创保胆取石术,针对两组病人的临床资料,对该术式的安全性及并发症发生、处理情况进行统计分析。结果100例病人均顺利完成手术,无术中并发症发生,有1例病人因结石嵌顿胆囊颈部无法取出中转胆囊切除术;观察组的手术时间与住院时间均短于对照组,术中出血量少于对照组,术后并发症概率值低于对照组,住院费用低于对照组,P<0.05,有统计学意义。结论内镜微创保胆取石术治疗胆囊结石伴慢性胆囊炎安全可行,在严格把握适应症并由腹腔镜技术操作熟练的外科医师主刀的前提下,并发症少,结石复发率低,可以达到微创、保留胆囊、改善生活质量的目的。
Objective To investigate the safety and complications of endoscopic minimally invasive gallstone preservation and removal of gallbladder stones with chronic cholecystitis.Methods Selected 200 cases of gallbladder stones with chronic cholecystitis in the First People’s Hospital of Kashgar from March 2017 to May 2020.Among them,100 cases(control group)underwent laparoscopic cholecystectomy for retrospective analysis All the operations were successfully completed.One case of bile leakage occurred due to the titanium clip,which was cured by exploratory suture and abdominal cavity irrigation and drainage in the emergency department.Intractable diarrhea occurred in 2 cases and resolved after 1 year of dietary conditioning.The other 100 cases(observation group)met the standard of patients underwent dual-scopy combined with minimally invasive bile-preserving and stone-removing surgery.Based on the clinical data of the two groups of patients,statistical analysis was made on the safety of the operation,the occurrence of complications,and the treatment.Results All 100 patients successfully completed the operation without intraoperative complications.One patient could not be removed for transit cholecystectomy due to stones incarcerated the neck of the gallbladder.The operation time and hospital stay of the observation group were shorter than those of the control group.The amount of bleeding was less than that of the control group,the probability of postoperative complications was lower than that of the control group,and the hospitalization cost was lower than that of the control group,P<0.05,which was statistically significant.Conclusion Double mirrors combined with minimally invasive gallstone preservation and removal of gallbladder stones with chronic cholecystitis is safe and feasible.Under the premise of strictly grasping the indications and being performed by surgeons skilled in laparoscopic techniques,there are few complications and low stone recurrence rate.It can achieve the purpose of minimally invasive,retaining
作者
曹彦龙
依明江·克尤木
王梁
木开热木·艾买提
CAO Yan-long;Yimingjiang·Keyoumu;WANG Liang;Mukairemu·Aimaiti(Kashgar First People's Hospital,Kashgar,Xinjiang,844000)
出处
《智慧健康》
2021年第10期44-46,共3页
Smart Healthcare
基金
喀什地区科学研究与技术开发计划项目,项目名称:内镜微创保胆取石术的临床应用研究(项目编号:KS2018046)
关键词
内镜
微创
保胆取石
胆囊结石
慢性胆囊炎
Endoscopy
Minimally invasive
Gallstone preservation
Gallbladder stones
Chronic cholecystitis
