Intego Kugereranya ingaruka zamavuriro ya clip yakirwa na clip ya titanium.Uburyo abarwayi 131 barwaye cholecystectomie mubitaro byacu kuva muri Mutarama 2015 kugeza Werurwe 2015 batoranijwe nkibikoresho byubushakashatsi, kandi abarwayi bose bagabanyijwemo amatsinda abiri.Mu itsinda ry’ubushakashatsi, abarwayi 67, barimo 33 b’igitsina gabo n’abagore 34, bafite impuzandengo y’imyaka (47.8 ± 5.1), bakoreshejwe mu guhambira lumen hamwe na SmAIL ishobora gukoreshwa mu Bushinwa.Mu itsinda rishinzwe kugenzura, abarwayi 64 (abagabo 38 n’abagore 26, bivuze (45.3 ± 4.7) bafite imyaka) bashyizwe hamwe na clip ya titanium.Gutakaza amaraso mu mikorere, igihe cyo gufatira lumen, igihe cyo kumara ibitaro no guhura nibibazo byaragaragaye kandi ugereranije hagati yaya matsinda yombi.Ibisubizo Gutakaza amaraso mu mikorere byari (12.31 ± 2.64) mL mu itsinda ry’ubushakashatsi na (11,96 ± 1.87) ml mu itsinda rishinzwe kugenzura, kandi nta tandukanyirizo ry’imibare ryari hagati yaya matsinda yombi (P> 0.05).Igihe cyo gufunga lumen cyitsinda ryubushakashatsi cyari (30.2 ± 12.1) s, cyari hejuru cyane ugereranije nitsinda rishinzwe kugenzura (23.5 + 10.6) s.Impuzandengo yuburebure bwibitaro byamatsinda yubushakashatsi yari (4.2 ± 2.3) d, naho iyitsinda ryari (6.5 ± 2.2) d.Igipimo cyingorabahizi cyitsinda ryubushakashatsi cyari 0, naho iryitsinda ryagerageje ryari 6.25%.Uburebure bwo kumara ibitaro no guhura nibibazo mu itsinda ryubushakashatsi byari hasi cyane ugereranije nabari mu itsinda rishinzwe kugenzura (P <0.05).Umwanzuro Clip ishobora gukururwa irashobora kugera ku ngaruka imwe ya hemostatike nka clip ya titanium, irashobora kugabanya igihe cyo gufunga lumen no kumara ibitaro, kandi irashobora kugabanya ibibazo byingutu, umutekano muke, bikwiranye no kuzamura amavuriro.
1. Amakuru nuburyo
1.1 Amakuru yubuvuzi
Abarwayi 131 batewe na cholecystectomie mu bitaro byacu kuva muri Mutarama 2015 kugeza muri Werurwe 2015 batoranijwe nk'ubushakashatsi, harimo 70 barwaye indwara ya gallbladder, 32 barwaye amabuye, 19 barwaye cholecystite idakira, na 10 barwaye cholecystitis.
Abarwayi bose bagabanyijwemo amatsinda abiri, itsinda ry’ubushakashatsi ry’abarwayi 67, barimo abagabo 33, igitsina gore 34, impuzandengo (47.8 ± 5.1) bafite imyaka 23, harimo 23 barwaye polyps, 19 barwaye amabuye, 20 barwaye cholecystite idakira, Indwara 5 za cholecystitis.
Mu itsinda rishinzwe kugenzura, hari abarwayi 64, barimo abagabo 38 n’abagore 26, bafite impuzandengo y’imyaka (45.3 ± 4.7), barimo abarwayi 16 barwaye polyps, abarwayi 20 barwaye amabuye, abarwayi 21 barwaye cholecystite idakira, n’abarwayi 7; hamwe na cholecystitis ya subacute.
1.2 uburyo
Abarwayi bo muri ayo matsinda yombi batewe na laparoskopi cholecystectomy na anesthesia rusange.Lumen yitsinda ryubushakashatsi ryashyizwe hamwe na clip ya A SmAIL ishobora gukururwa na hemostatike yerekana amashusho yakozwe mu Bushinwa, mugihe lumen yitsinda rishinzwe kugenzura ryashyizwe hamwe na clip ya titanium.Gutakaza amaraso mu mikorere, igihe cyo gufatira lumen, igihe cyo kumara ibitaro no guhura nibibazo byaragaragaye kandi ugereranije hagati yaya matsinda yombi.
1.3 Kuvura Ibarurishamibare
Porogaramu y'ibarurishamibare ya SPSS16.0 yakoreshejwe mu gutunganya amakuru.('x ± S') yakoreshejwe mu kwerekana ibipimo, t yakoreshejwe mu kugerageza, kandi igipimo (%) cyakoreshejwe mu kwerekana imibare.Ikizamini cya X2 cyakoreshejwe hagati yitsinda.
Igihe cyo kohereza: Ukuboza-31-2021
