摘要
Abstract
Objective:To investigate the efficacy of laparoscopic guided cholecystectomy(LC)in patients with gallstones(GS).Methods:A total of 80 patients with GS treated in the Fuzhou Linchuan District Second People's Hospital from April 2022 to May 2024 were selected as the study objects,and were divided into a study group and a control group with 40 cases in each group by random number table method.The study group was treated with LC,while the control group was treated with routine open cholecystectomy.The pain degree,postoperative recovery,inflammatory response index and complications were compared between the two groups.Results:At 24 h after operation,the Pain Visual Analogue Score of the study group was(4.42±0.95),which was lower than(5.12±1.04)of the control group,the difference was statistically significant(P<0.05).In the study group,the first postoperative anal exhaust time,the first postoperative defecation time,the first postoperative movement time and the length of hospital stay were(1.22±0.28)d,(1.67±0.41)d,(1.62±0.33)d and(5.56±1.06)d,respectively,which were shorter than(1.87±0.34)d,(2.15±0.52)d,(2.78±0.67)d and(7.21±1.12)d in the control group,the differences were statistically significant(P<0.05).At 24 h after operation,leukocyte count,interleukin-6,tumor necrosis factor-α and C-reactive protein levels in the study group were(8.72±1.53)×109/L,(188.56±23.64)ng/L,(48.21±5.23)mmol/L,(61.65±8.45)mg/L,respectively,which were lower than(11.33±1.98)×109/L,(223.60±25.71)ng/L,(80.86±8.47)mmol/L,(70.76±10.23)mg/L of the control group,and the differences were statistically significant(P<0.05).The complication rate of the study group was 5.00%,which was lower than 20.00%of the control group,the difference was statistically significant(P<0.05).Conclusion:The application of LC in patients with GS can effectively reduce the degree of postoperative pain,promote postoperative recovery,reduce inflammatory response,and reduce the occurrence of complications to some extent.关键词
胆囊结石/腹腔镜/胆囊切除术/疼痛程度/并发症/术后恢复Key words
Gallstones/Laparoscope/Cholecystectomy/Pain level/Complication/Postoperative recovery分类
医药卫生
