腹腔镜和开腹切除术治疗急性结石性胆囊炎对胃肠功能和CRP的影响比较

Comparition of the effects on gastrointestinal function and CRP of laparoscope and laparotomy resection in the treatment of acute calculous cholecystitis

目的:比较腹腔镜和开腹切除术治疗急性结石性胆囊炎对胃肠功能和CRP的影响。方法:2013年2月-2014年2月收治急性结石性胆囊炎患者108例,按照手术方式分为两组,每组54例。对照组予以开腹切除术治疗,研究组予以腹腔镜切除术治疗,分析两组术后胃肠功能及CPR情况。结果:研究组术后肠鸣音恢复、首次排气及排便时间均明显短于对照组,比较差异有统计学意义(P<0.05);研究组治疗后24 h及48 h的CRP水平均低于对照组,比较差异有统计学意义(P<0.05)。结论:腹腔镜切除术治疗急性结石性胆囊炎对胃肠功能和CRP的影响较小,值得临床推广及应用。

Objective:To compare the effects on gastrointestinal function and CRP of laparoscope and laparotomy resection in the treatment of acute calculous cholecystitis.Methods:108 cases with acute calculous cholecystitis were selected from February 2013 to February 2014.According to the operation mode,they were divided into two groups with 54 cases in each.The control group were given laparotomy resection treatment.The study group were given thoracoscopic resection treatment.The postoperative gastrointestinal function and CRP of patients in two group were analyzed.Results:The postoperative bowel sound recovery,exhaust and defecation time for the first time of the study group were significantly shorter than those of the control group, and the difference was significant(P<0.05).The CRP levels of 24 hours and 48 hours after treatment of the study group were lower than those of the control group,and the difference was significant(P<0.05).Conclusion:Laparoscopic cholecystectomy in the treatment of acute calculous cholecystitis has little effect on gastrointestinal function and CRP.It is worthy of clinical promotion and application.