胆囊后三角入路与胆囊三角入路腹腔镜胆囊 切除术治疗胆囊结石伴慢性胆囊炎 患者的效果

Effect of Laparoscopic Cholecystectomy via Posterior Calot's Triangle Ap⁃proach and Calot's Triangle Approach on Patients with Gallstones and Chronic Cholecystitis

目的分析胆囊结石伴慢性胆囊炎患者采用腹腔镜不同入路胆囊切除术的临床疗效。方法回顾性选取2022年1月—2023年6月单县中心医院收治的98例胆囊结石伴慢性胆囊炎患者的临床资料。患者均予以腹腔镜胆囊切除术,依据入路方式分为两组,每组49例。治疗组选择胆囊后三角入路,对照组选择胆囊三角入路。对比两组患者的临床指标、并发症发生率、炎症因子水平。结果治疗组术中出血量、手术时间、胃肠道功能恢复时间、住院时间优于对照组,差异有统计学意义(P均<0.05)。治疗组并发症发生率为4.08%(2/49),低于对照组的22.45%(11/49),差异有统计学意义(χ^(2)=7.184,P<0.05)。治疗后,治疗组血清炎症因子水平低于对照组,差异有统计学意义(P均<0.05)。结论对胆囊结石伴慢性胆囊炎患者开展腹腔镜胆囊后三角入路切除术效果更佳,利于改善临床指标,减少并发症,改善血清炎症因子水平。

Objective To analyze the clinical efficacy of laparoscopic cholecystectomy using different approaches in patients with gallbladder stones with chronic cholecystitis.Methods The clinical data of ninety-eight cases of gall⁃bladder stones with chronic cholecystitis admitted to Shanxian Central Hospital from January 2022 to June 2023 were retrospectively selected.The patients were all subjected to laparoscopic cholecystectomy,and were divided into two groups based on the approach,with forty-nine cases in each group.The treatment group chose the posterior triangular approach to the gallbladder,and the control group chose the triangular approach to the gallbladder.The clinical in⁃dexes,complication rates and inflammatory factor levels of the two groups were compared.Results Intraoperative bleeding,operation time,recovery time of gastrointestinal function,and hospitalisation time of the treatment group were better than those of the control group,and the differences were statistically significant(all P<0.05).The complica⁃tion rate of the treatment group was 4.08%(2/49),which was lower than the 22.45%(11/49)of the control group,and the difference was statistically significant(χ^(2)=7.184,P<0.05).After treatment,the serum inflammatory factors levels of the treatment group were lower than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion Performing laparoscopic posterior triangular approach resection of the gallbladder in patients with gallbladder stones with chronic cholecystitis is more effective and facilitates the improvement of clinical indica⁃tors,reduces complications and improves serum inflammatory factor levels.