摘要
目的 探讨传统开腹胆囊切除术和腹腔镜胆囊切除术对胆结石的治疗效果。 方法 选取86例胆结石患者，按照手术方式不同分为开腹组（41例）和腹腔镜组（45例），对比分析两组患者的手术时间、切口长度、术中出血量、首次排气时间、住院时间、并发症发生率及对患者免疫状态的影响。 结果 所有患者手术均成功，腹腔镜组手术切口长度、术中出血量、首次排气时间、住院时间均小（少）于开腹组（P〈0.05）；两组手术时间、疗效、术后并发症发生情况比较差异未见统计学意义（χ2＝2.431，P＝0.297）；腹腔镜组术后7 d的CD4＋、CD4＋/CD8＋均高于开腹组（P〈0.05）。 结论 腹腔镜胆囊切除术治疗胆结石的临床疗效及术后并发症与传统开腹胆囊切除术相似，但对患者机体免疫损伤小，从而有助于早日恢复，可作为胆结石手术的首选方式。
Objective To investigate the clinical curative effect of laparoscopic cholecystectomy and laparotomy cholecystectomy on gallstone. Methods Eighty-six patients with gallstones were select- ed, and the patients were divided into laparotomy group （41 cases） and laparoscopy group （45 cases） according to the surgical procedure. The operation time, incision lengths, blood loss volume, first ex- haust time, hospital stay, complications and the influence of immune status were compared. Results The operations of all patients were successfully. The incision lengths, blood loss volume, first exhaust time, hospital stay of the laparoscopy group were less than those of the laparotomy group （P 〈 0. 05 ）, respectively; there was no significant difference in operation time, complications between the two groups （ χ2 = 2.431, P = 0. 297 ） ; CD4 ＋ , CD4 ＋/CD8 ＋ of laparoscopy group on 7 d after operation were higher than those of the laparotomy group （P 〈 0.05 ）. Conclusions There was no significant difference in curative efficacy or postoperative complications between the traditional laparotomy cbolecystectomy and laparoscopic cholecystectomy, but there was less damage on immune function for patients in laparoscopic cholecystectomy, so that patients could get early relovery. Laparoscopic cholecystectomy is the preferred method for the treatment of gallstones.
出处
《中国实用医刊》
2017年第17期69-71,共3页
Chinese Journal of Practical Medicine
关键词
胆结石
腹腔镜
胆囊切除术
并发症
免疫功能
Gallstones
Laparoscopy
Cholecystectomy
Complication
Immune status
