[1]王博,吴凡,程洁,等. 3种胆囊床止血方法在腹腔镜胆囊切除术中应用效果比较[J].中国医学物理学杂志,2019,36(10):1239-1242.[doi:DOI:10.3969/j.issn.1005-202X.2019.10.023]
　WANG Bo,WU Fan,CHENG Jie,et al. Clinical effects of 3 kinds of methods for hemostasis of the gallbladder bed in laparoscopic cholecystectomy[J].Chinese Journal of Medical Physics,2019,36(10):1239-1242.[doi:DOI:10.3969/j.issn.1005-202X.2019.10.023]
点击复制

 3种胆囊床止血方法在腹腔镜胆囊切除术中应用效果比较()
分享到：

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
36卷
期数:
2019年第10期
页码:
1239-1242
栏目:
生物材料与力学
出版日期:
2019-10-29

文章信息/Info

Title:
 Clinical effects of 3 kinds of methods for hemostasis of the gallbladder bed in laparoscopic cholecystectomy
文章编号:
1005-202X（2019）10-1239-04
作者:
 王博1; 吴凡1; 程洁1; 王丽颖2
 1.空军第九八六医院全军腹腔镜治疗中心， 陕西 西安 710054； 2.西安交通大学口腔医院正畸科， 陕西 西安 710003
Author(s):
 WANG Bo1;  WU Fan1;  CHENG Jie1;  WANG Liying2
 1. Center of Military Laparoscopic Treatment, No.986 Hospital of Air Force of PLA, Xi’an 710054, China; 2. Department of Orthodontics, Stomatological Hospital, Xi’an Jiaotong University, Xi’an 710003, China
关键词:
 ; 腹腔镜; 胆囊切除术; 胆囊床; 止血; 生物纸
Keywords:
 ; Keywords: laparoscope;  cholecystectomy;  gallbladder bed;  hemostasis;  biopaper
分类号:
R657.4
DOI:
DOI:10.3969/j.issn.1005-202X.2019.10.023
文献标志码:
A
摘要:
 目的：观察腹腔镜下胆囊切除术（LC）中不同胆囊床止血方法的临床效果。方法：随机选取120例择期行腹腔镜下胆囊切除术患者，按照胆囊床止血方式不同分为3组：局部电凝组、全电凝组及生物纸组，比较3组患者术后2、12、24、48 h腹腔累积引流量，并在术前及术后24、72 h检测患者肝功能指标。结果：生物纸组各时间段累计腹腔引流平均量均少于其他两组（P<0.05），各组组内术后24 h生化指标较术前显著升高（P<0.05），各组间术后24 h生化指标比较无统计学差异（P>0.05）。结论：腹腔镜下胆囊切除术中应用生物纸处理胆囊床能够有效预防创面出血及渗出，同时具有较好的生物安全性，对人体无不良影响。
Abstract:
 Abstract: Objective To observe the clinical effects of different methods for hemostasis of the gallbladder bed in laparoscopic cholecystectomy. Methods A total of 120 patients scheduled for laparoscopic cholecystectomy were randomly selected. According to the methods for hemostasis of the gallbladder bed, the patients were divided into 3 groups, namely local electrocoagulation group, total electrocoagulation group and biopaper group. The cumulative abdominal drainage at 2, 12, 24, 48 h after surgery was compared among 3 groups, and the liver functions were measured before surgery and at 24, 72 h after surgery. Results The cumulative average abdominal drainage amount in biopaper group at any time point was less than that in the other two groups (P<0.05). The biochemical indexes at 24 h after surgery in all groups were significantly higher than those before surgery (P<0.05). There was no intergroup difference in biochemical indexes at 24 h after surgery (P>0.05). Conclusion The use of biopaper for hemostasis of the gallbladder bed in laparoscopic cholecystectomy can effectively prevent wound bleeding and exudation. Meanwhile, biopaper has good bio-compatibility and no adverse effects on human body.

相似文献/References:

[1]王遥,霍万里,熊壮,等.TACE手术中不同站姿下铅眼镜和铅面罩对医生眼晶状体防护效果的蒙特卡洛模拟比较[J].中国医学物理学杂志,2016,33(6):553.[doi:DOI:10.3969/j.issn.1005-202X.2016.06.003]
　[J].Chinese Journal of Medical Physics,2016,33(10):553.[doi:DOI:10.3969/j.issn.1005-202X.2016.06.003]
[2]张新,谷晓芳,王培臣,等.轻离子束治疗设备注册检验关键技术问题[J].中国医学物理学杂志,2016,33(6):559.[doi:10.3969/j.issn.1005-202X.2016.06.004]
　[J].Chinese Journal of Medical Physics,2016,33(10):559.[doi:10.3969/j.issn.1005-202X.2016.06.004]
[3]江芬芬,王培,康盛伟,等. 热释光剂量片测量肺部肿瘤放疗剂量的方法[J].中国医学物理学杂志,2016,33(6):564.[doi:10.3969/j.issn.1005-202X.2016.06.005]
　[J].Chinese Journal of Medical Physics,2016,33(10):564.[doi:10.3969/j.issn.1005-202X.2016.06.005]
[4]刘洪源,彭威,杨锐,等. 锥形束CT离线校正肺癌摆位误差[J].中国医学物理学杂志,2016,33(6):573.[doi:10.3969/j.issn.1005-202X.2016.06.007]
　[J].Chinese Journal of Medical Physics,2016,33(10):573.[doi:10.3969/j.issn.1005-202X.2016.06.007]
[5]赵彪,潘香,杨毅,等. 右乳癌保乳术后瘤床同步X线和后程电子线补量调强放疗剂量学比较[J].中国医学物理学杂志,2016,33(6):576.[doi:10.3969/j.issn.1005-202X.2016.06.008]
　[J].Chinese Journal of Medical Physics,2016,33(10):576.[doi:10.3969/j.issn.1005-202X.2016.06.008]
[6]邓南,钱建庭,刁现芬,等. 基于宽带检测放疗X-光光声效应仿体实验[J].中国医学物理学杂志,2016,33(9):865.[doi:DOI:10.3969/j.issn.1005-202X.2016.09.001]
　[J].Chinese Journal of Medical Physics,2016,33(10):865.[doi:DOI:10.3969/j.issn.1005-202X.2016.09.001]
[7]张先稳,李军,张西志,等. 宫颈癌术后5野调强放疗4个变量组合的最佳治疗模式的剂量学[J].中国医学物理学杂志,2016,33(9):872.[doi:10.3969/j.issn.1005-202X.2016.09.002]
　[J].Chinese Journal of Medical Physics,2016,33(10):872.[doi:10.3969/j.issn.1005-202X.2016.09.002]
[8]胡健,李承军,徐利明,等. 床面倾斜对剂量验证通过率的影响[J].中国医学物理学杂志,2016,33(9):881.[doi:10.3969/j.issn.1005-202X.2016.09.003]
　[J].Chinese Journal of Medical Physics,2016,33(10):881.[doi:10.3969/j.issn.1005-202X.2016.09.003]
[9]陈亚正,肖明勇,孙春堂,等. 准直器角度对宫颈癌术后VMAT计划的影响[J].中国医学物理学杂志,2016,33(9):885.[doi:10.3969/j.issn.1005-202X.2016.09.004]
　[J].Chinese Journal of Medical Physics,2016,33(10):885.[doi:10.3969/j.issn.1005-202X.2016.09.004]
[10]李毅,唐丰文,张晓智. 基于四维CT和锥形束CT确定非小细胞肺癌放疗靶区外放边界[J].中国医学物理学杂志,2016,33(9):892.[doi:10.3969/j.issn.1005-202X.2016.09.005]
　[J].Chinese Journal of Medical Physics,2016,33(10):892.[doi:10.3969/j.issn.1005-202X.2016.09.005]
[11]蔡刁龙. 微波治疗在合并肝硬化胆囊切除术胆囊床出血中的应用[J].中国医学物理学杂志,2018,35(6):742.[doi:DOI:10.3969/j.issn.1005-202X.2018.06.023]
　CAI Diaolong. Application of microwave therapy in cholecystectomy for cholecystolithiasis complicated with cirrhosis[J].Chinese Journal of Medical Physics,2018,35(10):742.[doi:DOI:10.3969/j.issn.1005-202X.2018.06.023]

备注/Memo

备注/Memo:
 【收稿日期】2019-03-14
【作者简介】王博，主治医师，主要从事微创外科专业，E-mail: wangbob1212@163.com
更新日期/Last Update: 2019-10-30