腹腔镜下逆行次全胆囊切除术治疗急性结石性胆囊炎的临床效果

下载后可任意编辑腹腔镜下逆行次全胆囊切除术治疗急性结石性胆囊炎的临床效果腹腔镜下逆行次全胆囊切除术治疗急性结石性胆囊炎的临床效果 左武 刘凯 王斌 [摘要]目的 探讨腹腔镜下逆行次全胆囊切除术治疗急性结石性胆囊炎的临床效果。方法 选取 20XX 年 1～12 月我院收治的 80 例急性结石性胆囊炎患者作为讨论对象，采纳随机数字表法分为观察组和对比组，每组各 40 例。观察组患者行腹腔镜下逆行次全胆囊切除术，对比组患者行腹腔镜逆行全胆囊切除术。比较两组患者的手术相关指标、术后并发症和术后应激指标。结果 观察组患者的手术时间短于对比组，术中出血量及术后补液量均少于对比组，差异有统计学意义（P0.05）;观察组患者的术后并发症总发生率低于对比组，差异有统计学意义（P0.05）;术后，两组患者的 CRP 和皮质醇均高于术前，观察组患者的CRP、皮质醇均低于对比组，差异均有统计学意义（P [关键词]急性结石性胆囊炎;腹腔镜逆行次全胆囊切除术;全胆囊切除术;临床效果 [Abstract] Objective To explore the clinical effect of laparoscopic retrograde subtotal cholecystectomy in the treatment of acute calculous cholecystitis. Methods A total of 80 patients with acute calculous cholecystitis treated in our hospital from January to December 20XX were selected as the research subjects ， they were divided into the observation group and the control group by random number table method， with 40 cases in each group. The patients in the observation group were treated with laparoscopic retrograde subtotal cholecystectomy， and the patients in the control group were treated with laparoscopic retrograde subtotal cholecystectomy. The operative related indexes ， postoperative complications and postoperative stress indexes between the two groups were compared. 1下载后可任意编辑Results The time of operation in the observation group was shorter than that in the control group， and the amount of bleeding during operation and fluid replenishment after operation were less than those in the c...