腹腔镜胆囊切除术治疗胆囊结石的效果及对患者的影响

Effect of Laparoscopic Cholecystectomy on Cholecystolithiasis and Its Influence on Patients

目的总结腹腔镜胆囊切除术治疗胆囊结石患者效果,探讨其对患者应激反应和胃肠功能影响。方法选取我院在2015年6月—2017年6月收治的168例胆囊结石患者,所有患者均采取腹腔镜胆囊切除术进行治疗,对治疗后效果及术后胃肠功能恢复、术后应激反应指标变化进行回顾性分析。结果本组168例患者,经治疗后,术后肠鸣音恢复时间(11.4±3.2)h、排气时间(23.6±4.7)h;术前,患者的CRP水平为(4.52±1.22),术后CRP为(5.46±1.25)mg/L,比较差异无统计学意义,P>0.05;术前IL-6含量(12.52±1.63)ng/L,术后IL-6含量(13.56±1.53)ng/L,比较差异无统计学意义,P>0.05。结论腹腔镜胆囊切除术治疗胆囊结石患者效果确切,对患者胃肠功能及应激反应影响小。

Objective To summarize the effect of laparoscopic cholecystectomy for gallstone patients, and to investigate the effect on stress reaction and gastrointestinal function. Methods From June 2015 to June 2017, 168 cases of cholecystolithiasis admitted in our hospital were selected, they were treated with laparoscopic cholecystectomy, the effect of treatment, postoperative recovery of gastrointestinal function and postoperative stress response index were analyzed retrospectively. Results This group of 168 patients, after treatment, postoperative recovery time of bowel sounds （11.4±3.2） h, exhaust time （23.6±4.7） h; The preoperative CRP level was （4.52±1.22）, and the postoperative CRP was （5.46±1.25）mg/L, the difference was not statistically significant, P 〉 0.05; Preoperative IL-6 content （12.52±1.63） ng/L, postoperative IL-6 content （13.56±1.53） ng/L, the difference was not statistically significant, P 〉 0.05. Conelusion Laparoscopie cholecystectomy for patients with gallstone is effective and has little effect on gastrointestinal function and stress reaction.