腹腔镜下胆囊切除术在改善免疫功能和术后恢复中的价值研究

目的：研究腹腔镜下胆囊切除术在改善免疫功能和术后恢复中的价值。方法将接受胆囊切除术的患者纳入研究，随机分为给予腹腔镜手术的观察组和给予开腹手术的对照组，观察术中免疫功能和术后恢复情况，并分析两者的相关性。结果（1）观察组患者的术中IgG、IgM、IgA水平高于对照组（P＜0.05），术后肛门排气时间、流质饮食时间、卧床时间以及住院总时间均低于对照组（P＜0.05）；（2）术后肛门排气时间、流质饮食时间、卧床时间以及住院总时间均与IgG、IgM、IgA水平呈负相关（P＜0.05）。结论腹腔镜下胆囊切除术有助于改善免疫功能、促进术后恢复，具有积极的临床价值。

Value study of laparoscopic cholecystectomy in improving immune function and postoperative recovery

Objective To study the value of laparoscopic cholecystectomy in improving immune function and postoperative recovery. Methods Patients who received cholecystectomy were included in study and randomly divided into the observation group receiving laparoscopic surgery and the control group receiving open surgery. The intraoperative immune function and postoperative recovery were observed and their correlation was analyzed. Results （1）The observation group had higher intraoperative IgG, IgM and IgA levels than the control group（P 〈 0.05） and lower anal exhaust time, liquid diet time, bed time and total hospitalization time than the control group（P 〈 0.05）. （2）The postoperative anal exhaust time, liquid diet time, bed time and total hospitalization time were all negatively related to the IgG, IgM and IgA levels（P 〈 0.05）. Conclusion Laparoscopic cholecystectomy is conducive to improving immune function and promoting postoperative restoration, thereby of positive clinical value.