快速康复外科理念联合术前3DVT对肝胆管结石病手术效果及康复进程的影响

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Abstract Objective To observe the effect of the concept of enhanced recovery after surgery(ERAS) combined with preoperative three-dimensional visualization technology (3DVT) on the surgical outcome and rehabilitation process of hepatolithiasis. Methods A total of 160 patients with hepatolithiasis admitted to Huaian Second People’s Hospital from August 2018 to August 2021 were selected as the subjects, and they were divided into control group (80 cases) and observation group (80 cases) by random number table method. The control group was given 3DVT preoperative evaluation combined with traditional perioperative treatment, and the observation group was given 3DVT preoperative evaluation combined with ERAS perioperative treatment. Preoperative CT examination, 3DVT evaluation, operation plan and perioperative situation of the two groups were recorded. Serum biochemical indexes including albumin (ALB), alanine aminotransferase (ALT), aspartate aminotransferase (AST), hemoglobin (Hb), and the total incidence of postoperative complications were compared between the two groups before and seven days after operation. Results Comparison of preoperative CT examination and intraoperative consistency rate, 3DVT preoperative evaluation, and intraoperative consistency rate and operation type between the two groups (P ＞ 0.05). The amount of intraoperative blood loss in the observation group was lower than that in the control group, and the postoperative hospital stay was shorter than that in the control group (P ＜ 0.05). On seven days after operation, ALB and Hb in both groups were lower than those before operation and higher in observation group than those in control group, while ALT and AST were higher than those before operation and lower in observation group than in those control group (P ＜ 0.05). The total incidence of complications in observation group was lower than that in control group (P ＜ 0.05). Conclusion 3DVT preoperative evaluation combined with ERAS perioperative management can effectively reduce intraoperative blood loss in patients with hepatolithiasis, shorten hospital stay, and promote liver function recovery.

Key words： Enhanced recovery after surgery Three-dimensional visualization technology Hepatolithiasis Liver function Immune function

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	GAO Jingyun1 CHEN Chuang1 XIE Yongfeng1 QI Yunfeng2 LYU Fei3▲

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GAO Jingyun1 CHEN Chuang1 XIE Yongfeng1 QI Yunfeng2 LYU Fei3▲. Effect of the concept of enhanced recovery after surgery combined with preoperative 3DVT on the surgical outcome and rehabilitation process of hepatolithiasis[J]. 中国医药导报, 2022, 19(23): 174-177.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I23/174

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