Chinangwa Kuenzanisa mhedzisiro yekiriniki yeinobatika clip uye titanium clip.Nzira 131 varwere vari kuitiswa cholecystectomy muchipatara chedu kubva Ndira 2015 kusvika Kurume 2015 vakasarudzwa sezvinhu zvekutsvaga, uye varwere vese vakapatsanurwa zvisina tsarukano mumapoka maviri.Muboka rekuyedza, varwere makumi matanhatu nevanomwe, kusanganisira varume makumi matatu nevatatu nevakadzi makumi matatu nemana, vane avhareji yezera re (47.8±5.1) makore, vakashandiswa kusungirira lumen neSmAIL inobatika chivharo chakagadzirwa kuChina.Muboka rekutonga, varwere makumi matanhatu nevana (38 varume uye 26 vakadzi, kureva (45.3 ± 4.7) yemakore) vakasungirirwa netitanium clips.Intraoperative kurasikirwa kweropa, lumen clamping nguva, kureba kwekugara muchipatara uye chiitiko chematambudziko zvakanyorwa uye zvichienzaniswa pakati pemapoka maviri.Migumisiro Kurasikirwa kweropa kwemukati kwaiva (12.31 ± 2.64) mL muboka rekuedza uye (11.96 ± 1.87) ml muboka rekutonga, uye pakanga pasina kusiyana kwenhamba pakati pemapoka maviri (P> 0.05).Iyo lumen clamping nguva yeboka rekuyedza yaive (30.2 ± 12.1) s, yaive yakanyanya kukwirira kupfuura yeboka rekutonga (23.5 + 10.6) s.Ivhareji urefu hwekugara muchipatara kweboka rekuedza kwaiva (4.2 ± 2.3) d, uye iyo yeboka rekutonga yaiva (6.5 ± 2.2) d.Muyero wekukanganisa weboka rekuyedza yaive 0, uye iyo yeboka rekuyedza yaive 6.25%.Kureba kwekugara muchipatara uye chiitiko chezvinetso muboka rekuedza zvaive zvakanyanya kuderera kune avo vari muboka rekutonga (P <0.05).Mhedziso Iyo clipable clip inogona kuwana yakafanana hemostatic mhedzisiro setitanium clip, inogona kupfupisa lumen clamping nguva uye kugara muchipatara, uye inogona kuderedza kuitika kwematambudziko, kuchengetedzwa kwakanyanya, kwakakodzera kukwidziridzwa kwekiriniki.
1. Data uye nzira
1.1 Clinical Data
Huwandu hwevarwere zana nemakumi matatu nemumwe vari kuitiswa cholecystectomy muchipatara chedu kubva muna Ndira 2015 kusvika Kurume 2015 vakasarudzwa sezvinhu zvekutsvagisa, zvinosanganisira makumi manomwe emakumi manomwe egallbladder polyps, 32 kesi dzegallstone, 19 kesi dzechisingaperi cholecystitis, uye gumi kesi dzesubacute cholecystitis.
Vese varwere vakapatsanurwa zvisina tsarukano kuita mapoka maviri, boka rekuyedza revarwere makumi matanhatu nevanomwe, kusanganisira varume makumi matatu nevatatu, vakadzi makumi matatu nemana, avhareji (47.8 ± 5.1) yemakore, kusanganisira 23 zviitiko zvegallbladder polyps, 19 kesi dzegallstone, makumi maviri emakumi maviri echirwere cholecystitis, 5 zviitiko zve subacute cholecystitis.
Muboka rekutonga, maive nevarwere makumi matanhatu nevana, kusanganisira varume makumi matatu nemasere nevakadzi makumi maviri nevatanhatu, vane avhareji yemakore (45.3 ± 4.7) makore, kusanganisira 16 varwere vane gallbladder polyps, 20 varwere vane gallstones, 21 varwere vane chronic cholecystitis, uye varwere vanomwe. ne subacute cholecystitis.
1.2 nzira
Varwere mumapoka ose maviri vakawana laparoscopic cholecystectomy uye general anesthesia.Iyo lumen yeboka rekuyedza yakasungirirwa neA SmAIL inobatika hemostatic ligation clip yakagadzirwa kuChina, ukuwo lumen yeboka rekutonga yakasungwa netitanium clip.Intraoperative kurasikirwa kweropa, lumen clamping nguva, kureba kwekugara muchipatara uye chiitiko chematambudziko zvakanyorwa uye zvichienzaniswa pakati pemapoka maviri.
1.3 Statistical Treatment
SPSS16.0 statistical software yakashandiswa kugadzirisa data.(' x± S ') yakashandiswa kumiririra kuyerwa, t yakashandiswa kuyedza, uye chiyero (%) chaishandiswa kumiririra kuverenga data.X2 bvunzo yakashandiswa pakati pemapoka.
Nguva yekutumira: Zvita-31-2021
