摘要
目的:观察超声引导胆囊穿刺置管引流术(PTGD)联合腹腔镜胆囊切除术(LC)治疗急性胆囊炎的效果。方法:选取2022年1—12月黄石市阳新县人民医院收治的急性胆囊炎患者62例作为研究对象,随机分为对照组与观察组,各31例。对照组行LC治疗,观察组行超声引导PTGD联合LC治疗。比较两组围术期指标、炎性因子水平、并发症发生情况。结果:观察组术中出血量少于对照组,LC时间短于对照组,术后肛门排气时间、肠鸣音恢复时间、术后首次排便时间、术后首次进食时间早于对照组,差异有统计学意义(P<0.001)。治疗后,两组C反应蛋白、白细胞介素-6、白细胞介素-10水平降低,观察组低于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P=0.023)。结论:超声引导PTGD联合LC治疗AC的效果显著,可降低术中出血量,缩短手术时间,加速术后恢复,减轻炎性反应,减少并发症发生风险。
Objective:To observe the effect of ultrasound-guided gallbladder puncture and catheter drainage(PTGD)combined with laparoscopic cholecystectomy(LC)in the treatment of acute cholecystitis.Methods:A total of 62 patients with acute cholecystitis were selected as the study objects at Yangxin County People's Hospital of Huangshi City from January to December 2022,and were randomly divided into control group and observation group,with 31 cases in each group.The control group was treated with LC,and the observation group was treated with ultrasound guided PTGD combined with LC.Perioperative indexes,inflammatory factors and complications were compared between the two groups.Results:The intraoperative blood loss and LC time in the observation group were shorter than those in the control group,and the postoperative anal exhaust time,bowel sound recovery time,first postoperative defecation time and first postoperative feeding time were earlier than those in the control group,the difference was statistically significant(P<0.001).After treatment,the levels of C-reactive protein,interleukin-6 and interleukin-10 in two groups were decreased,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.023).Conclusion:Ultrasound-guided PTGD combined with LC is effective in the treatment of AC,which can reduce intraoperative blood loss,shorten operative time,accelerate postoperative recovery,alleviate inflammatory reaction and reduce the risk of complications.
作者
郭伟
吴念寿
Guo Wei;Wu Nianshou(Department of Gastrointestinal Surgery,Yangxin County People's Hospital of Huangshi City1,Huangshi 435200,Hubei Province,China;Department of Hepatobiliary Surgery,Yangxin County People's Hospital of Huangshi City2,Huangshi 435200,Hubei Province,China)
出处
《中外医药研究》
2024年第9期78-80,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
急性胆囊炎
超声引导胆囊穿刺置管引流术
腹腔镜胆囊切除术
Acute cholecystitis
Ultrasound-guided gallbladder puncture catheter drainage
Laparoscopic cholecystectomy
