Cholinga Kuyerekeza matenda zotsatira za absorbable kopanira ndi titaniyamu kopanira.Njira 131 odwala cholecystectomy m'chipatala chathu kuyambira January 2015 mpaka March 2015 anasankhidwa monga zinthu kafukufuku, ndipo odwala onse mosintha anagawidwa m'magulu awiri.Pagulu loyesera, odwala 67, kuphatikiza amuna 33 ndi akazi 34, omwe ali ndi zaka zapakati (47.8 ± 5.1) zaka, adagwiritsidwa ntchito kuti achepetse lumen ndi SmAIL absorbable clamp yopangidwa ku China.Pagulu lolamulira, odwala 64 (amuna 38 ndi akazi 26, azaka (45.3 ± 4.7) azaka) adamangidwa ndi titaniyamu.Kutaya magazi kwa intraoperative, nthawi ya lumen clamping, kutalika kwa chipatala ndi zochitika za zovuta zinalembedwa ndikuyerekeza pakati pa magulu awiriwa.Zotsatira Kutaya magazi kwa intraoperative kunali (12.31 ± 2.64) mL mu gulu loyesera ndi (11.96 ± 1.87) ml mu gulu lolamulira, ndipo panalibe kusiyana kwa chiwerengero pakati pa magulu awiriwa (P> 0.05).Nthawi ya lumen clamping ya gulu loyesera inali (30.2 ± 12.1) s, yomwe inali yapamwamba kwambiri kuposa ya gulu lolamulira (23.5 + 10.6) s.Kutalika kwa nthawi yayitali m'chipatala cha gulu loyesera kunali (4.2 ± 2.3) d, ndipo gulu lolamulira linali (6.5 ± 2.2) d.Kuvuta kwa gulu loyesera kunali 0, ndipo gulu loyesera linali 6.25%.Kutalika kwa chipatala ndi zochitika za zovuta mu gulu loyesera zinali zochepa kwambiri kuposa zomwe zili mu gulu lolamulira (P <0.05).Mapeto The absorbable kopanira akhoza kukwaniritsa yemweyo hemostatic mmene kopanira titaniyamu, akhoza kufupikitsa lumen clamping nthawi ndi kukhala m'chipatala, ndi kuchepetsa zochitika za mavuto, chitetezo mkulu, oyenera kukwezedwa matenda.
1. Deta ndi njira
1.1 Zambiri Zachipatala
Okwana 131 odwala cholecystectomy m'chipatala chathu kuyambira January 2015 mpaka March 2015 anasankhidwa monga zinthu kafukufuku, kuphatikizapo 70 milandu ndulu polyps, 32 milandu ndulu, 19 milandu aakulu cholecystitis, ndi 10 milandu subacute cholecystitis.
Odwala onse adagawidwa mwachisawawa m'magulu awiri, gulu loyesera la odwala 67, kuphatikizapo amuna 33, akazi 34, zaka zapakati (47.8 ± 5.1), kuphatikizapo 23 matenda a ndulu, 19 milandu ya ndulu, 20 milandu ya cholecystitis aakulu, 5 milandu subacute cholecystitis.
Mu gulu lolamulira, munali odwala 64, kuphatikizapo amuna 38 ndi akazi 26, omwe ali ndi zaka (45.3 ± 4.7) zaka, kuphatikizapo odwala 16 omwe anali ndi ndulu, odwala 20 a ndulu, 21 odwala cholecystitis aakulu, ndi odwala 7. ndi subacute cholecystitis.
1.2 njira
Odwala m'magulu onsewa adalandira cholecystectomy laparoscopic ndi anesthesia wamba.Kuwala kwa gulu loyeserako kudalumikizidwa ndi clip ya A SmAIL absorbable hemostatic ligation yopangidwa ku China, pomwe lumen ya gulu loyang'anira idamangidwa ndi kopanira titaniyamu.Kutaya magazi kwa intraoperative, nthawi ya lumen clamping, kutalika kwa chipatala ndi zochitika za zovuta zinalembedwa ndikuyerekeza pakati pa magulu awiriwa.
1.3 Chiwerengero cha Chithandizo
Mapulogalamu owerengera a SPSS16.0 adagwiritsidwa ntchito pokonza deta.(' x ± S ') idagwiritsidwa ntchito kuyimira kuyeza, t idagwiritsidwa ntchito kuyesa, ndipo mulingo (%) unagwiritsidwa ntchito kuyimira kuwerengera.Mayeso a X2 adagwiritsidwa ntchito pakati pamagulu.
Nthawi yotumiza: Dec-31-2021
