Đánh giá kết quả phẫu thuật nội soi sỏi túi mật tại Bệnh viện Đại học Y Thái Bình=Evaluation the results of laparoscopic gallstones surgery at Thai Binh Medical University Hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Minh Nhữ Hoàng

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y Dược Thái Bình (Đại học Y Dược Thái Bình), 2024

Mô tả vật lý: tr.55-61

Bộ sưu tập: Metadata

ID: 159204

Thêm vào giỏ

Mô tả một số đặc điểm lâm sàng, cận lâm sàng và đánh giá kết quả phẫu thuật nội soi sỏi túi mật và biến chứng do sỏi túi mật gây ra. Phương pháp: Hồi cứu mô tả cắt ngang, cỡ mẫu thuận tiện Kết quả: Qua nghiên cứu 87 bệnh nhân được chẩn đoán và phẫu thuật sỏi túi mật thấy độ tuổi trung bình của BN là 52,8 ± 15,2 tuổi, độ tuổi gặp nhiều nhất từ 40-59 và 60-79 chiếm 75,8%. Tỷ lệ nam/ nữ là 1/2. Với 96,6% bệnh nhân có triệu chứng đau hạ sườn phải, 96,6% bệnh nhân có điểm đau túi mật. Có 04 bệnh nhân tăng bilirubin máu chiếm 4,6%, GPT và GOT tăng ở 76 trường hợp chiếm 87,4%. Trong 87 bệnh nhân có 66,6% bệnh nhân được chỉ định mổ vì sỏi túi mật đơn thuần, còn lại là viêm túi mật, trong đó có 06 bệnh nhân mổ cấp cứu vì viêm túi mật cấp tính. Thời gian mổ trung bình ở 2 nhóm mổ mở và mổ nội soi là 60 ± 17,3 phút, nhắn nhất là 30 phút. Sự khác biệt giữa thời gian mổ nội soi và nhóm mổ mở có ý nghĩa thống kê với p <
0,001. Có 02 trường hợp mổ nội soi khó khăn phải chuyển mổ mở, 01 trường hợp tai biến trong mổ tổn thương đường mật chính. Sau mổ 100% bệnh nhân có kết quả điều trị tốt, có 01 trường hợp nhiễm trùng vết mổ nhẹ, thời gian ra viện trung bình là 6,5 ± 2,4 ngày. Kết luận: Qua nghiên cứu 87 bệnh nhận chúng tôi nhận thấy: Phẫu thuật nội soi cắt túi mật điều trị sỏi túi mật là phương pháp hiệu quả cao, an toàn. Phương pháp này cho thời gian nằm viện ngắn, trung bình 6 ngày.To describe some clinical and paraclinical characteristics and evaluate the results of laparoscopic gallstone surgery and complications caused by gallstones. Method: Retrospective descriptive cross-sectional study, convenient sample size. Results: Through the study of 87 patients diagnosed with and operated on for gallbladder stones, the average age of the patients was 52.8 ± 15.2 years, with the most common age groups being 40-59 and 60-79, accounting for 75.8%. The male-to-female ratio was 1:2. Among the patients, 96.6% had symptoms of right hypochondrial pain, and 96.6% had gallbladder tenderness. Four patients (4.6%) had elevated blood bilirubin levels, while GPT and GOT levels were elevated in 76 cases, accounting for 87.4%. Of the 87 patients, 66.6% were indicated for surgery due to simple gallstones, while the rest had cholecystitis, including 6 patients who required emergency surgery for acute cholecystitis. The average surgical time for both open and laparoscopic surgery groups was 60 ± 17.3 minutes, with the shortest time being 30 minutes. The difference in surgical time between the laparoscopic and open surgery groups was statistically significant, with p <
0.001. There were 2 cases in which difficult laparoscopic surgery required conversion to open surgery, and 1 case involved intraoperative bile duct injury. After surgery, 100% of the patients had good treatment outcomes, with only 1 case of mild wound infection. The average hospital stay was 6.5 ± 2.4 days. Conclusion: Through the study of 87 patients, we found that laparoscopic cholecystectomy for the treatment of gallstones is a highly effective and safe method. This approach results in a short hospital stay, averaging 6 days.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR