医学临床研究
  2025年4月4日 星期五           首 页    |    期刊简介    |    编委会    |    投稿指南    |    期刊订阅    |    广告合作    |    留言板    |    联系我们    |    English
医学临床研究  2019, Vol. 36 Issue (3): 492-494    DOI: 10.3969/j.issn.1671-7171.2019.03.026
  论著 本期目录 | 过刊浏览 | 高级检索 |
3D腹腔镜治疗胆囊结石合并胆总管结石的疗效及对PCT、CRP的影响
王者超, 唐均成, 周渝阳, 董晓灵, 冯毅, 代国华
重庆市江津区中心医院肝胆外科,重庆 402260
Effects of Three-dimensional Laparoscopy on Cholecystolithiasis with Common Bile Duct Stones and its Influence on PCT and CRP
WANG Zhe-chao, TANG Jun-cheng, ZHOU Yu-yang, et al
Department of Hepatobiliary Surgery,The Central Hospital of Chongqing Jiangjin District,Chongqing 402260,China
全文: PDF (0 KB)   HTML (1 KB) 
输出: BibTeX | EndNote (RIS)      
摘要 【目的】探讨分析3D腹腔镜治疗胆囊结石合并胆总管结石的疗效及对患者血清降钙素原(PCT)、C反应蛋白(CRP)水平的影响。【方法】回顾性分析2015年3月至2018年3月本院收治的72例胆囊结石合并胆总管结石患者的临床资料,根据手术方式的不同将其分为3D手术组(n=32)和2D手术组(n=40),分别采取3D腹腔镜治疗以及传统2D腹腔镜治疗,比较两组患者手术相关指标、手术前后血清PCT、PCR变化以及术后并发症发生情况、结石复发情况。【结果】3D手术组患者手术时间以及术中出血量显著低于2D手术组(P<0.05),两组患者术后腹腔引流量、引流时间以及术后住院时间比较差异均无显著性(P<0.05)。两组患者术后2 d血清PCT、CRP水平均较术前显著升高,而2D手术组血清PCT、CRP水平高于3D手术组,差异均具有统计学意义(P<0.05)。2D手术组发生胆漏1例,术后并发症发生率为2.5%;3D手术组患者未发现术后并发症,但两组比较差异无统计学意义(χ2=0.013,P>0.05)。两组患者术后随访6~18个月,均无术后结石复发。【结论】3D腹腔镜治疗胆囊结石合并胆总管结石与传统2D腹腔镜手术比较更加精准、微创,机体炎症反应更低,具有较好临床应用前景。
服务
把本文推荐给朋友
加入我的书架
加入引用管理器
E-mail Alert
RSS
作者相关文章
关键词 胆结石/并发症胆结石/外科学胆总管结石/外科学胆总管结石/并发症    
Abstract:【Objective】 To investigate the effect of three-dimensional laparoscopy in the treatment of cholecystolithiasis with common bile duct stones and its influence on serum procalcitonin (PCT) and C-reactive protein (CRP).【Methods】 The clinical data of 72 patients with cholecystolithiasis complicated by common bile duct stones admitted to our hospital from March 2015 to March 2018 were retrospectively analyzed. According to the different surgical methods, the patients were divided into three-dimensional operation group (n=32) and two-dimensional operation group (n=40). The patients were treated with three-dimensional laparoscopy and traditional two-dimensional laparoscopy, respectively. The related indexes of operation, changes of serum PCT, PCR before and after operation, and the occurrence of complications and the recurrence of stones were compared between the two groups.【Results】The operation time and intraoperative bleeding volume in the three-dimensional group were significantly lower than those in the two-dimensional group (P<0.05). There was no significant difference in abdominal drainage volume, drainage time and hospital stay between the two groups (P<0.05). The levels of serum PCT and CRP in the two groups were significantly higher than those before operation, while the levels of serum PCT and CRP in the two-dimensional group were higher than those in the three-dimensional group (P<0.05). Bile leakage occurred in 1 case in the 2D operation group and the incidence of complications was 2.5%. No complications were found in the 3D operation group, but there was no significant difference between the two groups (χ2=0.013,P>0.05).【Conclusion】Compared with traditional 2-D laparoscopic surgery, 3D laparoscopy on cholecystolithiasis combined with common bile duct stones is more accurate, minimally invasive, and has lower inflammatory response, so it has better clinical application prospects.
Key wordsCholelithiasis/CO    Cholelithiasis/SU    Choledocholithiasis/SU    Choledocholithiasis/CO
收稿日期: 2018-12-13     
PACS:  R657.42  
引用本文:   
王者超, 唐均成, 周渝阳, 董晓灵, 冯毅, 代国华. 3D腹腔镜治疗胆囊结石合并胆总管结石的疗效及对PCT、CRP的影响[J]. 医学临床研究, 2019, 36(3): 492-494.
WANG Zhe-chao, TANG Jun-cheng, ZHOU Yu-yang, et al. Effects of Three-dimensional Laparoscopy on Cholecystolithiasis with Common Bile Duct Stones and its Influence on PCT and CRP. JOURNAL OF CLINICAL RESEARCH, 2019, 36(3): 492-494.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.03.026     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I3/492
版权所有 © 2013 医学临床研究杂志社  湘ICP备13012052号-1
办公地址:湖南省长沙市芙蓉区新军路43号煤炭大院主办公楼6楼621、623、632、636室 邮编:410011 电话(传真):0731-84824007 E-mail:jcr_cs.hn@vip.163.com
技术支持:北京玛格泰克科技发展有限公司 技术支持:support@magtech.com.cn