Injongo Ukuthelekisa isiphumo seklinikhi sekliphu ethathekayo kunye nekliphu yetitanium.Iindlela izigulane ze-131 ezithatha i-cholecystectomy kwisibhedlele sethu ukususela ngoJanuwari 2015 ukuya ku-Matshi 2015 zikhethwe njengezinto zophando, kwaye zonke izigulane zahlulwa ngokungenamkhethe zibe ngamaqela amabini.Kwiqela lovavanyo, izigulana ezingama-67, kubandakanywa amadoda angama-33 kunye nabasetyhini abangama-34, abaneminyaka yobudala ephakathi (47.8±5.1) yeminyaka, basetyenziselwe ukucinezela ilumen nge-SmAIL ebambekayo ebambekayo eyenziwe eTshayina.Kwiqela lolawulo, izigulane ze-64 (i-38 yamadoda kunye ne-26 yabasetyhini, intsingiselo (i-45.3 ± 4.7) iminyaka ubudala) yaxinzelelwa ngeekliphu ze-titanium.Ukulahleka kwegazi kwi-intraoperative, ixesha lokubamba i-lumen, ubude besibhedlele kunye neziganeko zeengxaki zirekhodwa kwaye zithelekiswa phakathi kwamaqela amabini.Iziphumo Ukulahleka kwegazi kwi-intraoperative kwaba (12.31±2.64) mL kwiqela lokulinga kunye (11.96±1.87)ml kwiqela lolawulo, kwaye akukho mahluko wezibalo phakathi kwamaqela amabini (P> 0.05).Ixesha le-lumen clamping yeqela lokulinga lali (30.2 ± 12.1) s, elaliphezulu kakhulu kunelo qela lolawulo (23.5 + 10.6) s.Umndilili wobude bokuhlala esibhedlele kweqela lovavanyo lali (4.2±2.3)d, kwaye elo qela lolawulo laliyi (6.5±2.2)d.Izinga lobunzima beqela lokulinga laliyi-0, kwaye elo qela lokulinga laliyi-6.25%.Ubude bokuhlala esibhedlele kunye neziganeko zeengxaki kwiqela lokulinga laliphantsi kakhulu kunelo qela lokulawula (P <0.05).Isiphelo Ikliphu ye-absorbeble inokufikelela kwisiphumo esifanayo se-hemostatic njenge-clip ye-titanium, inokunciphisa ixesha lokubamba i-lumen kunye nokuhlala esibhedlele, kwaye inokunciphisa iziganeko zeengxaki, ukhuseleko oluphezulu, olufanelekileyo ukunyuswa kweklinikhi.
1. Idatha kunye neendlela
1.1 Iinkcukacha zoNyango
I-totali yezigulane ze-131 ezenza i-cholecystectomy kwisibhedlele sethu ukususela ngoJanuwari 2015 ukuya ku-Matshi 2015 zikhethwe njengezinto zophando, kubandakanywa iimeko ze-70 ze-polyps ye-gallbladder, iimeko ze-32 ze-gallstone, iimeko ze-19 ze-cholecystitis engapheliyo, kunye neemeko ze-10 ze-subacute cholecystitis.
Zonke izigulana zahlulwe ngokungenamkhethe zibe ngamaqela amabini, iqela lovavanyo lwezigulane ezingama-67, kubandakanywa amadoda angama-33, amabhinqa angama-34, umyinge (47.8 ± 5.1) ubudala, kubandakanywa iimeko ezingama-23 ze-polyps ye-gallbladder, iimeko ze-19 ze-gallstone, iimeko ezingama-20 ze-cholecystitis engapheliyo, Iimeko ezi-5 ze-cholecystitis engaphantsi.
Kwiqela lolawulo, bekukho izigulane ezingama-64, kubandakanywa amadoda angama-38 kunye nabasetyhini abangama-26, abaneminyaka yobudala engama-45.3 ± 4.7, kubandakanywa nezigulane ze-16 ezine-polyps ye-gallbladder, izigulane ze-20 ezine-gallstones, izigulane ze-21 ezine-cholecystitis engapheliyo, kunye nezigulane ze-7. kunye ne-subacute cholecystitis.
1.2 iindlela
Izigulane kumaqela omabini zafumana i-laparoscopic cholecystectomy kunye ne-anesthesia jikelele.Ilume yeqela lovavanyo yayibotshwe ngekliphu ye-SmAIL ekwaziyo ukunyanyiswa yi-hemostatic ligation eyenziwe e-China, ngelixa i-lumen yeqela lolawulo ibotshwe ngekliphu ye-titanium.Ukulahleka kwegazi kwi-intraoperative, ixesha lokubamba i-lumen, ubude besibhedlele kunye neziganeko zeengxaki zirekhodwa kwaye zithelekiswa phakathi kwamaqela amabini.
1.3 Unyango lwamanani
SPSS16.0 isoftwe yeenkcukacha-manani isetyenziselwe ukucubungula idatha.(' x± S ') yasetyenziswa ukumela umlinganiselo, t isetyenziselwe ukuvavanya, kwaye umlinganiselo (%) wasetyenziselwa ukubonisa idatha yokubala.Uvavanyo lwe-X2 lusetyenziswe phakathi kwamaqela.
Ixesha lokuposa: Dec-31-2021
