摘要
目的比较腹腔镜胆囊切除术和开腹手术治疗急性胆囊炎的疗效。方法选取我院2016年8月至2017年7月收治的急性胆囊炎患者110例,随机分为腹腔镜组和开腹组各55例。腹腔镜组采用腹腔镜胆囊切除术治疗,开腹组采用传统开腹手术治疗。比较两组患者的手术指标、炎性因子水平、术后胃肠功能恢复情况。结果腹腔镜组的术中出血量、手术时间、切口长度、引流管留置率均优于开腹组(P<0.05)。腹腔镜组的术后肠鸣音恢复时间、排便时间、肛门排气时间均短于开腹组(P<0.05)。术后72 h,两组患者的TNF-α、CRP水平均高于术前,而腹腔镜组的TNF-α、CRP水平均低于开腹组(P均<0.05)。结论腹腔镜胆囊切除术治疗急性胆囊炎能够明显改善炎性因子水平,加快患者术后恢复,值得临床推广应用。
Objective To compare the curative effects of laparoscopic cholecystectomy and laparotomy in the treatment of acute cholecystitis. Methods 110 cases of patients with acute cholecystitis admitted to our hospital from August 2016 to July 2017 were selected and randomly divided into laparoscope group and laparotomy group, with 55 cases in each group. The laparoscope group received laparoscopic cholecystectomy, while the laparotomy group received traditional laparotomy. The surgical indicators, levels of inflammatory factors and postoperative gastrointestinal function recovery were compared between the two groups. Results The intraoperative blood loss, operation time, incision length and rate of indwelling drainage tube of the laparoscope group were better than those of the laparotomy group （P〈0.05）. The recovery time of bowel sound, defecation time and anal exhaust time of the laparoscope group were shorter than those of the laparotomy group （P〈 0.05）. 72 h after surgery, TNF-α and CRP levels of the two groups were higher than those before surgery, but TNF-α and CRP levels of the laparoscope group were lower than those of the laparotomy group （all P 〈0.05）. Conclusions Laparoscopic cholecystectomy in the treatment of acute cholecystitis can significantly improve the levels of inflammatory factors, accelerate the postoperative recovery of patients, which is worthy of clinical promotion and application.
出处
《临床医学工程》
2018年第1期15-16,共2页
Clinical Medicine & Engineering
关键词
急性胆囊炎
腹腔镜胆囊切除术
开腹手术
炎性因子
Acute cholecystitis
Laparoscopic cholecystectomy
Laparotomy
Inflammatory factor
