;兩組術后 M T L, G A S 均低于術前,但與對照組比較,觀察組術后MTL、GAS更高( <img src="/qkimages/yxxi/yxxi202509/yxxi20250922-2-l.jpg" with="47px" style="vertical-align: middle;"> ;與對照組比較,觀察組術后ET、Cor更低,SOD更高( P<0 . 0 5 ;與對照組并發(fā)癥發(fā)生率的 1 6 . 6 7 % ,觀察組并發(fā)癥發(fā)生率更低,為6 . 4 5 % ( P <0 . 0 5 ) ;隨訪5個月,觀察組復發(fā)率與對照組比較,差異無統(tǒng)計學意義( <img src="/qkimages/yxxi/yxxi202509/yxxi20250922-4-l.jpg" with="43px" style="vertical-align: middle;"> 。結論膽囊切除術可縮短手術時間、術后首次排氣時間、住院時間,減少術中出血量,減輕應激反應,且對胃腸功能影響小,另可實現(xiàn)與開腹切除術基本相同的預后效果,值得臨床應用。-龍源期刊網" />

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膽囊切除術對膽囊結石患者胃腸功能及預后的影響

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中圖分類號:R657.4文章編號:1006-1959(2025)09-0114-04

文獻標識碼:A

DOI:10.3969/j.issn.1006-1959.2025.09.022

Abstract:Obealoflesestroealfucorogosasihotal f61patientswilooddtadioupifrogustgsdsate dividedintooodeatigrou(3doubableetdTtrolopsratedioetal cholecysteodioasaditoicealidest indexesotildod) recurenceratewereomparedbetwenthetwogroupsResultsComparedwiththecontrolgroup,theperationtime,firstexhausttieand hospitalization time of the observation group were shorter,and the intraoperative blood loss was less( P<0 . 0 5 ) .After surgery,thelevels ofMTLand GASinhetwogoupswereloertanthoseeforesurgeryutcompareitheontrolgoup,thelevelsofandGASintebseatiogoup were higher ( P< O.05).Comparedwiththecontrolgroup,ETandCorintheobservationgroup werelower,andSODwas higheraftersurgery( P< (0.05). Compared with 1 6 . 6 7 % of the control group,the incidence of complications in the observation group was lower( 6 . 4 5 % )( P<0 . 0 5 ) .After5months of follow-up,there wasnosignificantdiferenceintherecurrenceratebetweentheobservationgroupandthecontrol group( P>0 . 0 5 ) . Conclusion Cholecystectomynotentoatotiostoperatiefirsteusttiespitalatioiucetrapeatieblodlouce stresespoeslittstroeuiitaeeossaoic clinical application.

Keywords:Cholecystectomy;Gallstones; Gastrointestinal function

膽囊結石(gallstones)是臨床常見的疾病,開腹膽囊切除術作為其常規(guī)治療方法存在手術創(chuàng)傷大,術后恢復慢,且可能會造成一系列并發(fā)癥,影響患者胃腸功能和預后2]。(剩余4544字)

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