腹腔镜下急性胆囊炎切除术综合疗效研究

目的探讨腹腔镜下急性胆囊炎切除术的综合疗效。方法选取2008年1月～2011年6月于本院进行治疗的54例急性胆囊炎患者为研究对象,将其随机分为对照组(开腹胆囊切除术组)27例和观察组(腹腔镜下胆囊切除术组)27例,后将两组患者的手术时间、出血量、排气时间、住院时间、并发症发生率及术前、术后1d的外周血T淋巴细胞亚群进行比较。结果观察组手术时间、出血量、排气时间、住院时间、并发症发生率均优于对照组,术后CD3+、CD4+及CD4/CD8水平均高于对照组,CD8+水平则低于对照组,P均<0.05,差异均有统计学意义。结论腹腔镜下急性胆囊炎切除术的多项手术评估项目均较佳,且对患者的免疫状态也影响更小。

Study on the comprehensive therapeutic effect of acute cholecystitis laparoscopic excision

Objective To study the comprehensive therapeutic effect of acute cholecystitis laparoscopic excision. Methods Fifty four patients with acute cholecystitis in our hospital from January 2008 to June 2011 were selected and randomly divided into control group (open cholecystectomy group) and observation group (laparoscopic cholecystectomy group), each of 27 cases, then the operation time, blood loss, exhaust time, hospitalization time, incidence of complications and peripheral blood T lymphocyte subsets 1 d before and after the surgery of two groups were compared. Results The operation time, blood loss, exhaust time, hospitalization time, incidence of complications of observation group were all better than those of control group, the CD3+, CD4+and CD4/CD8 of observation group were all higher than those of control group, CD8+ was lower than those of control group, all P < 0.05, there were all significant differences. Conclusion The surgical evaluation items of acute cholecystitis laparoscopic excision are all better,and the influence for the immune state of patients is smaller.