摘要
目的探讨腹腔镜胆总管切开探查取石术对复发性胆总管结石患者机体应激反应的影响。方法回顾性分析广州市番禺区中心医院在2017年1月至2020年1月因复发性胆总管结石行手术治疗的96例患者,其中48例行腹腔镜胆总管切开探查取石,为观察组(n=48);其中48例行开腹胆总管切开探查术,为对照组(n=48),观察两组手术情况、应激水平及术后并发症。结果观察组手术及住院时间均短于对照组,术中出血量少于对照组;术后1d及5d时PCT、CRP及白细胞计数水平均低于对照组(P<0.05);并发症发生率低于对照组(均P<0.05)。结论腹腔镜胆总管切开探查取石术应用于复发性胆总管结石患者可改善患者机体应激水平,且并发症和出血量均少,术后恢复快。
Objective To investigate the effect of laparoscopic choledochotomy exploratory lithotomy on the body stress response in patients with recurrent common bile duct stones.Methods To retrospectively reviewed 96 patients who underwent surgical treatment due to recurrent common bile duct stones in Panyu District Central Hospital from January 2017 to January 2020.Of these patients,48 underwent laparoscopic choledocholithotomy and exploration for stone removal,which was the observation group(n=48),and 48 underwent open choledocholithotomy and exploration,which was the control group(n=48),to observe the surgical conditions,stress levels,and postoperative complications in the two groups.Results In the observation group,the duration of surgery and hospital stay were shorter than in the control group,intraoperative blood loss was less than in the control group,PCT,CRP and white blood cell count levels were lower than in the control group at 1D and 5D after operation(all P<0.05),and complication rates were lower than in the control group(all P<0.05).Conclusion The application of laparoscopic choledocholithotomy to patients with recurrent common bile duct stones can improve the level of organism stress in patients,with few complications and blood loss,and rapid postoperative recovery.
作者
黄永业
HUANG Yong-ye(Digestive Center Second District,Panyu District Central Hospital,Guangzhou,Guangdong 511400)
出处
《智慧健康》
2021年第22期69-71,共3页
Smart Healthcare
关键词
腹腔镜胆总管探查术
胆总管结石
传统开腹胆总管探查术
降钙素原
Laparoscopic common bile duct exploration
Common bile duct stones
Traditional open common bile duct exploration
Procalcitonin
