摘要
目的分析腹腔镜胆囊切除术治疗胆囊结石合并胆总管结石患者的近远期效果。方法选取2017年1月至2018年1月我院收治的78例胆囊结石合并胆总管结石患者为研究对象,采用随机数字法将其分为传统组和腹腔镜组,各39例。传统组给予开腹胆囊切除术联合胆总管切开取石术治疗,腹腔镜组给予腹腔镜胆囊切除术治疗。比较两组手术前、后的疼痛缓解情况、应激反应指标、临床治疗效果、并发症发生情况及术后1年的复发率。结果手术后1个月,两组的NRS评分明显降低,且腹腔镜组明显低于传统组(P<0.05)。手术后,腹腔镜组的CRP及IL-6水平均低于传统组(P<0.05)。腹腔镜组的临床治疗总有效率为94.87%,明显高于传统组的71.79%(P<0.05)。腹腔镜组的并发症总发生率为7.69%,明显低于传统组的33.33%(P<0.05)。腹腔镜组术后1年的复发率明显低于传统组(P<0.05)。结论腹腔镜胆囊切除术治疗胆囊结石合并胆总管结石患者的近远期效果更加显著,值得临床推广应用。
Objective To analyze the short-term and long-term effect of laparoscopic cholecystectomy on patients with cholecystolithiasis combined with common bile duct stones. Methods From January 2017 to January 2018, 78 patients with cholecystolithiasis combined with common bile duct stones admitted in our hospital were selected as the study objects, and the patients were divided into traditional group and laparoscopic group by random number method, with 39 cases in each group. The traditional group was treated with open cholecystectomy combined with choledocholithotomy,while the laparoscopic group was treated with laparoscopic cholecystectomy. The pain relief, stress response indexes before and after operation, clinical treatment effect, complications and recurrence rate at 1 year after operation were compared between the two groups. Results One month after the operation, the score of NRS in the two groups decreased significantly, and that in the laparoscopic group was significantly lower than the traditional group(P <0.05). After operation, the levels of CRP and IL-6 in the laparoscopic group were lower than those in the traditional group(P<0.05).The total effective rate of clinical treatment in the laparoscopic group was 94.87%, which was significantly higher than71.79% in the traditional group(P <0.05). The total incidence of complications in the laparoscopic group was 7.69%,which was significantly lower than 33.33% in the traditional group(P<0.05). The recurrence rate at 1 year after operation in the laparoscopic group was significantly lower than that in the traditional group(P<0.05). Conclusion The short-term and long-term effect of laparoscopic cholecystectomy on patients with cholecystolithiasis combined with common bile duct stones is more significant, which is worthy of clinical promotion and application.
作者
陈彦才
CHEN Yan-cai(Chengcheng County Hospital,Weinan 715200,China)
出处
《临床医学研究与实践》
2020年第3期90-92,共3页
Clinical Research and Practice
关键词
胆囊结石
胆总管结石
腹腔镜胆囊切除术
应激反应
cholecystolithiasis
common bile duct stones
laparoscopic cholecystectomy
stress response
