摘要
目的 本研究比较腹腔镜胆囊切除术 (LC)、小切口胆囊切除术 (MIOC)和传统开腹胆囊切除术(OC)三者的手术期应激反应的差别。方法 选择 90例慢性胆囊炎、胆囊结石患者 ,随机分为 3组 ,每组 30例 ,围手术期分别测定血清总T3、TSH、皮质醇、胰岛素、血糖、外周血白细胞和体温。来判断各组应激反应的程度。结果 LC手术的应激反应轻于OC手术 ,而MIOC手术与LC手术相近。
Objective To compare the degrees of stress reaction among laparoscopic cholecystectomy(LC),mini-incision open cholecystectmy(MIOC) and conventional open cholecystectomy(OC).Methods Ninety patients with gallstone were randomly divided into three groups:(LC),(MIOC) and (OC).Blood Thyroxin(T 3),throid-stimulating hormone(TSH),cortisol,insulin,glucose,white blood cell and temperature were measured and/or recorded in the perioperative period.Results The stress rection in LC was significantly lighter than that in OC,but the stress reaction degree in LC and MIOC were basic equality.Conclusion The stress reaction in LC is small than those of OC.
出处
《中国医师杂志》
CAS
2001年第6期413-414,共2页
Journal of Chinese Physician
关键词
腹腔镜术
小切口胆囊切除术
应激反应
Laparoscopic cholecystectomy,Miniincision open cholecystectomy
Open cholecystectomy
Stress reaction
