Inhloso Ukuqhathanisa umphumela womtholampilo wesiqeshana esimuncwa nesiqeshana se-titanium.Izindlela iziguli ezingu-131 ezikhishwa i-cholecystectomy esibhedlela sethu kusukela ngoJanuwari 2015 kuya ku-March 2015 zakhethwa njengezinto zocwaningo, futhi zonke iziguli zahlukaniswa ngokungahleliwe zaba ngamaqembu amabili.Eqenjini lokuhlola, iziguli ezingama-67, okuhlanganisa abesilisa abangama-33 nabesifazane abangama-34, abaneminyaka yobudala eyisilinganiso (47.8±5.1) basetshenziswa ukubopha ilume nge-SmAIL absorbable clamp eyakhiwe e-China.Eqenjini lokulawula, iziguli ezingama-64 (abesilisa abangama-38 nabesifazane abangama-26, okusho ukuthi (iminyaka engu-45.3 ± 4.7) ubudala) zafakwa iziqeshana ze-titanium.Ukulahleka kwegazi kwangaphakathi kokuhlinzwa, isikhathi sokuqinisa ilume, ubude besikhathi sokuhlala esibhedlela kanye nesigameko sezinkinga kwaqoshwa futhi kwaqhathaniswa phakathi kwamaqembu amabili.Imiphumela Ukulahleka kwegazi kwangaphakathi kokuhlinzwa kwaba (12.31±2.64) mL eqenjini lokuhlola kanye (11.96±1.87)ml eqenjini lokulawula, futhi awubanga khona umehluko wezibalo phakathi kwamaqembu amabili (P >0.05).Isikhathi sokubopha i-lumen seqembu lokuhlola sasingu-(30.2±12.1)s, esasiphezulu kakhulu kunaleso seqembu lokulawula (23.5+10.6)s.Isilinganiso sobude bokuhlala esibhedlela kweqembu lokuhlola sasingu-(4.2±2.3)d, futhi leso seqembu elilawulayo sasingu-(6.5±2.2)d.Izinga lezinkinga zeqembu lokuhlola lalingu-0, futhi lelo leqembu lokuhlola lalingu-6.25%.Ubude bokuhlala esibhedlela kanye nezigameko zezinkinga eqenjini lokuhlola zaziphansi kakhulu kunalezo eziseqenjini lokulawula (P <0.05).Isiphetho I-absorbeble clip ingafinyelela umphumela ofanayo we-hemostatic njengesiqeshana se-titanium, ingafinyeza isikhathi se-lumen clamping nokuhlala esibhedlela, futhi inganciphisa izehlakalo zezinkinga, ukuphepha okuphezulu, okufanelekile ukukhuthazwa emtholampilo.
1. Idatha nezindlela
1.1 Idatha Yomtholampilo
Ingqikithi yeziguli eziyi-131 ezihlinzwa i-cholecystectomy esibhedlela sethu kusukela ngoJanuwari 2015 kuya kuNdasa wezi-2015 zakhethwa njengezinto zocwaningo, okuhlanganisa namacala angu-70 e-gallbladder polyps, amacala angu-32 e-gallstone, amacala angu-19 e-cholecystitis engapheli, namacala angu-10 e-subacute cholecystitis.
Zonke iziguli zazihlukaniswe ngokungahleliwe zaba amaqembu amabili, iqembu lokuhlola leziguli ezingama-67, okuhlanganisa abesilisa abangama-33, abesifazane abangama-34, abaneminyaka yobudala ephakathi (47.8 ± 5.1), okuhlanganisa namacala angu-23 wama-polyps enyongo, amacala angu-19 e-gallstone, amacala angu-20 e-cholecystitis engapheli, Amacala ama-5 e-subacute cholecystitis.
Eqenjini elilawulayo, bekuneziguli ezingama-64, okuhlanganisa abesilisa abangama-38 nabesifazane abangama-26, abaneminyaka yobudala eyisilinganiso (45.3 ± 4.7), okuhlanganisa neziguli eziyi-16 ezinama-polyps enyongo, iziguli ezingama-20 ezinenyongo, iziguli ezingama-21 ezine-cholecystitis engapheli, neziguli eziyi-7. nge-cholecystitis engapheli.
1.2 izindlela
Iziguli kuwo womabili amaqembu zathola i-laparoscopic cholecystectomy kanye ne-anesthesia jikelele.Ilume yeqembu lokuhlola yayiboshelwe ngesiqeshana se-A SmAIL absorbable hemostatic ligation esenziwe e-China, kuyilapho ilume yeqembu elilawulayo iboshiwe ngesiqeshana se-titanium.Ukulahleka kwegazi kwangaphakathi kokuhlinzwa, isikhathi sokuqinisa ilume, ubude besikhathi sokuhlala esibhedlela kanye nesigameko sezinkinga kwaqoshwa futhi kwaqhathaniswa phakathi kwamaqembu amabili.
1.3 Ukwelashwa Kwezibalo
Isofthiwe yezibalo ye-SPSS16.0 yasetshenziswa ukucubungula idatha.(' x± S ') yasetshenziselwa ukumela ukulinganisa, u-t wasetshenziselwa ukuhlola, futhi izinga (%) lasetshenziselwa ukumela idatha yokubala.Ukuhlolwa kwe-X2 kusetshenziswe phakathi kwamaqembu.
Isikhathi sokuthumela: Dec-31-2021
