The Effect of Percutaneous Transhepatic Gallbladder Puncture and Drainage on Serum WBC and TBIL in the Treatment of Gallstones

Abstract

Abstract: Objective To investigate the effects of percutaneous transhepatic gallbladder puncture and drainage on serum WBC and TBIL in the treatment of gallstones. Methods 204 cases of patients with gallstones diagnosed and treated in Zhengzhou Traditional Chinese Medicine Hospital From January 2020 to May 2022 were selected as the object of the study. Accorded to the 1:1 odd even grouping principle, the patients were divided into the experimental group and the control group with 102 cases in each group. The control group were treated with laparoscopic surgery, and the experimental group were treated with percutaneous puncture and drainage of the liver and gallbladder. Compare the postoperative recovery, incidence of postoperative complications, overall treatment efficacy, and changes in serum white blood cell count and total bilirubin expression between two groups of patients. Results The postoperative anal exhaust time, solid food intake time, postoperative defecation time, and postoperative hospitalization time of the experimental group were significantly shorter than those of the control group, and the diff erence was statistically significant (P<0.05). The incidence of complications such as poor wound healing, abdominal infection, biliary fistula, bile duct injury, and perforation in the experimental group 7 days after surgery was significantly lower than that in the control group, and the difference was statistically significant (P<0.05). The total effective rate of the experimental group at 7 days after surgery was significantly higher than that of the control group, and the difference was statistically significant (P<0.05). The serum white blood cell count and total bilirubin in the experimental group and control group were significantly lower than those on the first day before surgery, and the difference was statistically significant (P<0.05). Moreover, the experimental group also showed a significant decrease on the seventh day after surgery compared to the control group,and the difference was statistically significant (P<0.05). Conclusion Percutaneous transhepatic gallbladder puncture and drainage for the treatment of gallstones can promote patient recovery, effectively reduce the occurrence of complications, inhibit the release of serum WBC and TBIL, and improve the overall treatment effect of patients.

Key words: percutaneous transhepatic cholecystectomy with catheter drainage, gallstone, complication, total bilirubin, white blood cell count

CLC Number:

R657.4

CAO Xin, ZHANG Liu-long, QIAO Hong. The Effect of Percutaneous Transhepatic Gallbladder Puncture and Drainage on Serum WBC and TBIL in the Treatment of Gallstones[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(12): 50-54.

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