摘要
目的对比分析腹腔镜胆囊切除术(LC)、开腹胆囊切除术(OC)应用于老年急性胆囊炎患者治疗过程中的具体效果。方法选取山西省永济市中医医院2015年1月至2017年12月86例老年急性胆囊炎患者,随机分为对照组与研究组,每组43例,研究组行腹腔镜胆囊切除术,对照组行开腹胆囊切除术,比较两组疗效。结果对照组手术时间少于研究组,研究组术中出血量、术后肠鸣音恢复时间、术后肛门首次排气时间、术后住院时间均少于对照组(P均<0.05);两组术前免疫功能相关指标比较,差异未见统计学意义(P>0.05),术后研究组CD3^+、CD4^+/CD8^+、IgA、IgG、IgM检测值与术前比较,差异未见统计学意义(P>0.05),术后对照组CD3^+、CD4^+/CD8^+、IgA、IgG、IgM检测值均较术前显著下降(P均<0.05)。结论应用腹腔镜胆囊切除术治疗老年急性胆囊炎有效性、安全性较优,有利于保障患者预后及生活质量。
Objective To compare the specific effects of laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) in the treatment of elderly patients with acute cholecystitis. Methods A total of 86 elderly patients with acute cholecystitis in Yongji Traditional Chinese Medicine Hospital from January 2015 to December 2017 were selected. They were randomly divided into control group and research group, with 43 cases in each group. The study group underwent laparoscopic cholecystectomy, while the control group underwent open cholecystectomy. Effects of laparoscopic cholecystectomy and open cholecystectomy in the treatment of elderly acute cholecystitis were compared. Results The operation time in the control group was less than that in the study group(P<0.05). The amount of bleeding during operation, the recovery time of bowel sounds after operation, the first time of anal exhaust after operation and the time of hospitalization after operation in the study group were less than those in the control group (P all<0.05). There was no significant difference in related indexes of preoperative immune function between the two groups (P>0.05). Levels of CD3^+, CD4^+/CD8^+, IgA, IgG and IgM in the study group after operation were compared with those before operation, and there was no significant difference(P>0.05). The levels of CD3^+, CD4^+/CD8^+, IgA, IgG and IgM in the control group were significantly lower than those before operation (P all<4 0.05). Conclusions Laparoscopic cholecystectomy is effective and safe in the treatment of acute cholecystitis in elderly patients, which is conductive to ensuring the prognosis and quality of life of patients.
作者
李鲜红
Li Xianhong(Department of Surgery, Yongji Traditional Chinese Medicine Hospital, Yongji 044500, China)
出处
《中国实用医刊》
2019年第12期101-103,共3页
Chinese Journal of Practical Medicine
