论文部分内容阅读
目的 :探讨超声介入联合胆道镜对急性结石性胆囊炎患者胃肠功能的影响。方法 :将92例急性结石性胆囊炎患者分为两组,每组46例;观察组采用超声介入联合胆道镜取石术治疗;对照组采用腹腔镜胆囊切除术治疗。对比两组手术情况、症状改善情况、并发症发生情况;观察两组治疗前后血清胃动素(MTL)、血管活性肠肽(VIP)水平变化情况。结果 :观察组术后住院时间、治疗费用、体温恢复时间、术后首次排气时间、肠鸣音恢复时间均显著低于对照组,差异有显著性意义;两组治疗后MTL水平显著升高,VIP水平显著降低;观察组治疗后MTL显著高于对照组,VIP水平显著低于对照组,差异有统计学意义;观察组并发症发生率(4.35%)显著低于对照组(19.57%),差异有统计学意义。结论 :超声介入联合胆道镜取石术治疗急性结石性胆囊炎的疗效确切,能显著改善患者胃肠功能,降低并发症的发生。
Objective: To investigate the effect of ultrasound and choledochoscopy on gastrointestinal function in patients with acute calcific cholecystitis. Methods: A total of 92 patients with acute calculous cholecystitis were divided into two groups (n = 46 in each group). The patients in the observation group were treated with ultrasound and choledoch cholecystectomy. The patients in the control group were treated with laparoscopic cholecystectomy. The operation conditions, symptom improvement and complication were compared between the two groups. Changes of serum motilin (MTL) and vasoactive intestinal peptide (VIP) levels were observed before and after treatment. Results: The postoperative hospital stay, treatment costs, body temperature recovery time, postoperative first exhaust time, bowel sounds recovery time were significantly lower than the control group, the difference was significant; MTL levels were significantly increased after treatment in both groups (P <0.05), and the level of VIP decreased significantly. The MTL in the observation group was significantly higher than that in the control group, the VIP level was significantly lower than that in the control group, the difference was statistically significant. The incidence of complications in observation group was significantly lower than that in control group (4.35% vs 19.57% ,The difference was statistically significant. Conclusion: Ultrasound-guided cholangiolithotomy is effective in the treatment of acute calcific cholecystitis, which can significantly improve gastrointestinal function and reduce the incidence of complications.