腹腔镜胆囊切除术治疗急性胆囊炎的临床效果

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Abstract Objective To study the clinical effect of laparoscopic cholecystectomy in the treatment of acute cholecystitis (AC). Methods A total of 52 patients with AC treated in our hospital from June 2017 to June 2018 were selected as study subjects. The patients were randomly divided into two groups according to the random number table method, each had 26 cases. Patients in the control group underwent open cholecystectomy, patients in the experimental group underwent laparoscopic cholecystectomy. The immune function indexes, perioperative indexes, serum lipase (LPS), serum amylase (AMY) , and serum alkaline phosphatase (ALP) levels between the two groups were compared. Results Tn the postoperative, the levels of CD3+, CD4+, CD4+/CD8+experimental group were higher than those in the control group, and the differences were statistically significant (P＜0.05). The perioperative index of the experimental group in the postoperative group was less than that of the control group, the operation time and abdominal drainage time were shorter than those in the control group, and the amount of surgical bleeding was less than that in the control group, the differences were statistically significant (P＜0.05), The levels of LPS, AMY, and ALP in the experimental group were lower than those in the control group, and the differences were statistically significant (P＜0.05). Conclusions Laparoscopic cholecystectomy is effective in treating AC, and can effectively alleviate postoperative immune function suppression, reduce LPS, AMY,ALP and promote patient recovery.

Key words： Laparoscopic cholecystectomy Acute cholecystitis Immune function Serum lipase Serum amylase;Serum alkaline phosphatase

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	CAI Wei-sheng
	HUANG Huang-ye

Cite this article:

CAI Wei-sheng,HUANG Huang-ye. Clinical effect of laparoscopic cholecystectomy for acute cholecystitis[J]. 中国当代医药, 2020, 27(19): 112-114.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I19/112

[1]	张风华.急性胆囊炎行腹腔镜胆囊切除术的手术时机对疗效及预后的影响[J].深圳中西医结合杂志，2017，27（20）：112-114.
[2]	刘建.老年急性胆囊炎采用腹腔镜胆囊切除术及开腹胆囊切除术治疗的效果比较[J].影像研究与医学应用，2018，2（3）：15-16.
[3]	张连贞.腹腔镜胆囊切除术对患者肝功能及免疫功能的影响[J].海南医学院学报，2016，22（12）：1240-1242.
[4]	张宇华.急性胆道感染《东京指南（2018）》拔萃[J].中国使用外科杂志，2018，7（38）：668-774
[5]	张丹，郑湘，袁庆功.腹腔镜胆囊切除术对老年急性胆囊炎患者胃肠功能和免疫功能的影响[J].现代消化及介入诊疗，2017，22（6）：824-826.
[6]	孙成文.腹腔镜胆囊切除术对胆囊结石患者肝功能和免疫应激的影响[J].河南医学研究，2018，27（2）：332-333.
[7]	朱朝军.腹腔镜胆囊切除术治疗急性胆囊炎并发胆结石的安全性及预后评估[J].临床医药文献电子杂志，2018，5（64）：34.
[8]	薛红娣，刘双海，陈胜，等.腹腔镜下胆囊切除术治疗胆结石患者的疗效及对机体免疫功能的影响[J].医学综述，2016，22（24）：4914-4916.
[9]	姜华，杨晋东.羟考酮联合帕瑞昔布钠在腹腔镜胆囊切除术后自控静脉镇痛中的应用[J].山东医药，2017，57（10）：62-64.
[10]	邹卫华.腹腔镜胆囊切除术对老年急性胆囊炎患者治疗的疗效及预后分析[J].肝胆外科杂志，2016，24（6）：452-454.
[11]	黄安华，谢华辉，周明雄，等.腹腔镜胆囊切除术治疗老年急性胆囊炎患者的临床效果及对免疫功能的影响[J].实用临床医药杂志，2017，21（11）：202-204.
[12]	徐洪标.开腹胆囊切除术与腹腔镜胆囊切除术对胆结石患者免疫功能及术后并发症影响的对比分析[J].医学理论与实践，2017，30（12）：1778-1779.
[13]	郑晨，李守帅，周鹏，等.Rouviere 沟引导定位腹腔镜胆囊切除术与传统定位手术的对比分析[J].检验医学与临床，2017，14（19）：2890-2892，2896.
[14]	章密密，刘先武，胡兴明，等.腹腔镜胆囊切除术治疗急性结石性胆囊炎的疗效及对免疫功能术后并发症的影响[J].河北医学，2017，23（11）：1810-1813.
[15]	沈彬，尹浩，朱晓萍，等.腹腔镜下胆囊切除术辅用消炎利胆片对急性胆囊炎患者术后疗效、预后及血清学指标变化的分析[J].世界华人消化杂志，2018，26（25）：1523-1528.
[16]	徐远达，朱跃全.腹腔镜胆囊切除术对急性胆囊炎老年患者免疫功能的影响[J].中国老年学杂志，2013，33（21）：5464-5465.
[17]	闻天学，王郝.腹腔镜胆囊切除术对老年慢性胆囊炎伴胆囊结石患者炎症因子及免疫球蛋白的影响[J].海南医学院学报，2016，22（20）：2431-2433.
[18]	王新团，李博，李栋，等.经皮经肝胆囊穿刺造瘘术序贯非气腹腹腔镜胆囊切除术治疗高龄重症结石性胆囊炎的效果观察[J].广西医科大学学报，2019，36（1）：97-101.
[19]	席广利，董浩.腹腔镜胆囊切除术治疗急性胆囊炎的效果及预后[J].临床肝胆病杂志，2018，34（2）：332-336.