| 剖腹胆囊切除术与腹腔镜胆囊切除术胰岛素抵抗的差异 |
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| 引用本文： | 朱岭,全卓勇,章希,许涛.剖腹胆囊切除术与腹腔镜胆囊切除术胰岛素抵抗的差异[J].腹部外科,2005,18(4):216-217. |
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| 作者姓名： | 朱岭 全卓勇 章希 许涛 |
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| 作者单位： | 430015,武汉市第六医院普外科 |
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| 摘 要： | 目的对比剖腹胆囊切除术(OC)和腹腔镜胆囊切除术(LC)的胰岛素抵抗程度和持续时间,以确定LC有更小的组织创伤。方法将53例择期手术病例分为OC组(28例)和LC组(25例),对比两组的生理学评分、住院时间及在术前、手术结束、术后24h、72h的胰岛素敏感性(IS)改变。结果LC组IS下降最多仅为8%,而OC组IS下降可达20%。两者有统计学差异(P<0.01)。结论LC术后IS改变较OC术后少,对机体的损伤小,有利于病人的康复。
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| 关 键 词： | 胰岛素 胆囊切除术 胆囊切除术 腹腔镜 |
| 修稿时间： | 2004年12月13 |
Difference in insulin resistance following open vs laparoscopic operations |
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| ZHU Ling,QUAN Zuo-yong,ZHANG Xi,et al..Difference in insulin resistance following open vs laparoscopic operations[J].Journal of Abdominal Surgery,2005,18(4):216-217. |
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| Authors: | ZHU Ling QUAN Zuo-yong ZHANG Xi |
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| Institution: | ZHU Ling,QUAN Zuo-yong,ZHANG Xi,et al.Department of General Surgery,The 6th Municipal Hospital,Wuhan,430015,China |
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| Abstract: | ObjectiveTo study the course and degree of postoperative insulin resistance in patients subject to open cholecystectomy(OC)vs laparoscopic cholecystectomy(LC).MethodsFifty-three cases undergoing elective operation were divided into OC group(n=28)and LC group(n=25).Insulin sensitivity was measured by the QUICKI before,and 24 and 72h after elective surgery and compared between the two groups.ResultsAfter LC,mean insulin sensitivity was reduced by 8% as compared with baseline,and after OC by 20%(P<(0.01)).ConclusionInsulin sensitivity was less affected 24h after LC than after OC.The course and degree of postoperative insulin resistance was more pronounced after OC. |
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| Keywords: | Insulin Cholecystectomy Cholecystectomy laparoscopic |
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