中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
1期
35-37
,共3页
胆囊切除术,腹腔镜%剖腹术%肝功能试验%免疫
膽囊切除術,腹腔鏡%剖腹術%肝功能試驗%免疫
담낭절제술,복강경%부복술%간공능시험%면역
Cholecystectomy,laparoscopic%Laparotomy%Liver function tests%Immnity
目的 探讨经脐单孔腹腔镜与开腹胆囊切除术对患者肝功能和免疫功能的影响.方法 将120例胆囊炎、胆石症患者根据手术方式分为经脐单孔腹腔镜胆囊切除术组(NC组,58例)及开腹胆囊切除术组(OC组,62例),均于术前1d及术后第3d检测肝功能和免疫功能,并进行比较分析.结果 NC组术后肝功能和免疫功能测定值与术前差异均无统计学意义(t =3.94、0.13、1.34、0.76,均P＞0.05)；而OC组术后肝功能和免疫功能测定值与术前差异均有统计学意义(t =27.04、34.49、18.52、21.45,均P＜0.05)；两组术后肝功能和免疫功能测定值差异均有统计学意义(t=15.31、31.42、12.32、12.68,均P＜0.05).结论 经脐单孔腹腔镜胆囊切除术是安全可行的,其对肝功能和免疫功能的影响明显优于传统腹腔镜胆囊切除术.
目的 探討經臍單孔腹腔鏡與開腹膽囊切除術對患者肝功能和免疫功能的影響.方法 將120例膽囊炎、膽石癥患者根據手術方式分為經臍單孔腹腔鏡膽囊切除術組(NC組,58例)及開腹膽囊切除術組(OC組,62例),均于術前1d及術後第3d檢測肝功能和免疫功能,併進行比較分析.結果 NC組術後肝功能和免疫功能測定值與術前差異均無統計學意義(t =3.94、0.13、1.34、0.76,均P＞0.05)；而OC組術後肝功能和免疫功能測定值與術前差異均有統計學意義(t =27.04、34.49、18.52、21.45,均P＜0.05)；兩組術後肝功能和免疫功能測定值差異均有統計學意義(t=15.31、31.42、12.32、12.68,均P＜0.05).結論 經臍單孔腹腔鏡膽囊切除術是安全可行的,其對肝功能和免疫功能的影響明顯優于傳統腹腔鏡膽囊切除術.
목적 탐토경제단공복강경여개복담낭절제술대환자간공능화면역공능적영향.방법 장120례담낭염、담석증환자근거수술방식분위경제단공복강경담낭절제술조(NC조,58례)급개복담낭절제술조(OC조,62례),균우술전1d급술후제3d검측간공능화면역공능,병진행비교분석.결과 NC조술후간공능화면역공능측정치여술전차이균무통계학의의(t =3.94、0.13、1.34、0.76,균P＞0.05)；이OC조술후간공능화면역공능측정치여술전차이균유통계학의의(t =27.04、34.49、18.52、21.45,균P＜0.05)；량조술후간공능화면역공능측정치차이균유통계학의의(t=15.31、31.42、12.32、12.68,균P＜0.05).결론 경제단공복강경담낭절제술시안전가행적,기대간공능화면역공능적영향명현우우전통복강경담낭절제술.
Objective To study the effects between transumbilical single port laparoscopic cholecystectomy and open cholecystectomy on hepatic function and immune function in patients with gallbladder diseases.Methods 120 patients with gallbladder diseases were divided into NC group (n =58) and OC group(n =62).Then to detect the change of serum hepatic function and immune function on one day before and 3 days after the operations.Results The levels of serum hepatic function and immune function in the NC group before and after the operations were no statistical significance (t =3.94,0.13,1.34,0.76,all P ＞ 0.05),while the levels of serum hepatic function and immune function in the OC group before and after the operations have significant statistical significance (t =27.04,34.49,18.52,21.45,all P ＜ 0.05).Conclusion Transumbilical single port laparoscopic cholecystect-omy is a safe and feasible operation,which has the advantages of less effects of hepatic function and immune function to compare with open cholecystectomy.
