摘要
目的评价急性胆囊炎给予腹腔镜胆囊切除术时进行胆囊三角吸引器解剖的效果。方法2018年1月至2019年6月收集研究对象,共收集研究对象110例。在尊重患者意见及根据平均分配的原则将研究对象分为55例对照组和55例观察组。对照组超声解剖胆囊三角。观察组吸引器解剖胆囊三角。结果在腹壁操作孔数量、解剖胆囊三角时间、胆管损伤率、胆汁漏发生率方面,两组的统计学分析结果为P<0.05。在术中出血量、转开腹手术率、腹腔引流率、术后住院时间、腹腔引流时间、腹腔残余感染率方面,两组的统计学分析结果为P>0.05。结论急性胆囊炎给予腹腔镜胆囊切除术时进行胆囊三角吸引器解剖在减少手术创伤、预防并发症方面可起到很大的作用。
Objective To evaluate effect of gallbladder triangular aspirator anatomy in laparoscopic cholecystectomy for acute cholecystitis.Methods Collect 110 cases study objects from January 2018 to June 2019,divide them into 55 cases in control group and 55 cases in observation group according to principle of patients’opinions and average distribution.Control group was treated with gallbladder triangle anatomy under ultrasound,observation group with anatomy of gallbladder triangle aspirator.Results Statistical analysis showed P<0.05 in operation holes numbers in abdominal wall,dissecting time of gallbladder triangle,bile duct injury rate and bile leakage rate.Statistical analysis showed P<0.05 in intraoperative bleeding volume,conversion rate of open surgery,abdominal drainage rate,postoperative hospital stay,abdominal drainage time,abdominal residual infection rate.Conclusion Triangle aspirator anatomy has great effect on reducing surgical trauma and preventing complications in laparoscopic cholecystectomy of acute cholecystitis.
作者
徐金强
李祥
XU Jin-qiang;LI Xiang(General Surgery Department,No.964 Hospital of PLA,Changchun,Jilin 130062)
出处
《智慧健康》
2020年第17期177-178,共2页
Smart Healthcare
关键词
急性胆囊炎
腹腔镜胆囊切除术
胆囊三角吸引器解剖
Acute cholecystitis
Laparoscopic cholecystectomy
Anatomy of gallbladder triangle aspirator