摘要
目的探讨腹腔镜与小切口胆囊切除术对急性胆囊炎患者ALT、AST水平的影响,并对比其安全性。方法选择2017年1月—2019年12月本院收治的70例急性胆囊炎患者作为研究对象,采用随机数表法分为研究组和对照组两组,每组各35例。对照组行小切口胆囊切除术,研究组行腹腔镜胆囊切除术。比较两组手术情况、术前及术后第2天肝功能及并发症情况。结果与对照组比较,研究组手术切口长度缩短,术中出血量减少,胃肠功能恢复时间、术后下床活动时间及住院时间均提前(P<0.01)。与术前比较,术后第2天两组患者血清ALT、AST及TBIL水平均升高,但研究组低于对照组(P<0.01)。研究组手术并发症发生率明显低于对照组(P<0.05)。结论腹腔镜胆囊切除术对患者机体损伤及肝功能的影响均较小,有助于患者术后恢复,安全性更高。
Objective To investigate the effect of laparoscopic cholecystectomy and small incision cholecystectomy on ALT and AST levels in patients with acute cholecystitis,and to compare their safety.Methods 70 patients with acute cholecystitis those admitted to our hospital from January 2017 to December 2019 were selected as the research objects,and they were randomly divided into study group and control group with 35 cases in each group.The control group underwent small incision cholecystectomy,and the study group underwent laparoscopic cholecystectomy.The operation,liver function and complications were compared between the two groups.Results Compared with the control group,the length of incision,blood loss,recovery time of gastrointestinal function,postoperative ambulation time and hospitalization time of the study group were shorter(P<0.01).Compared with those before operation,the serum levels of ALT,AST and TBIL in the two groups were increased on the second day after operation,but the study group was lower than the control group(P<0.01).The incidence of surgical complications in the study group was significantly lower than that in the control group(P<0.05).Conclusions Laparoscopic cholecystectomy has less effect on body injury and liver function,which is helpful for postoperative recovery and has higher safety.
作者
孔德勇
刘亚运
王昌库
刘凡杰
Kong Deyong;Liu Yayun;Wang Changku;Liu Fanjie(Department of general surgery,Huaibei chaoyang hospital,Huaibei,Anhui,235000,China)
出处
《齐齐哈尔医学院学报》
2021年第18期1579-1581,共3页
Journal of Qiqihar Medical University
关键词
急性胆囊炎
腹腔镜胆囊切除术
小切口胆囊切除术
肝功能
安全性
Acute cholecystitis
Laparoscopic cholecystectomy
Small incision cholecystectomy
Liver function
Security
