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腹腔镜胆囊切除术对有既往上腹部手术史患者术后免疫功能的影响
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- Author:
- No author available
- Journal Title:
- China Clinical Practical Medicine
- Issue:
- 2
- DOI:
- 10.3760/cma.j.issn.1673-8799.2019.02.012
- Key Word:
- 腹腔镜;胆囊切除术;既往手术史;免疫功能
Abstract： 目的 探讨腹腔镜胆囊切除术对既往上腹部手术史患者术后免疫功能的影响.方法 选取2017年1月至2018年1月山西稷山正身医院普通外科收治的接受腹腔镜胆囊切除术治疗的既往上腹部手术史的50例胆囊结石患者为既往手术组,选取同时期山西稷山正身医院普通外科收治的接受腹腔镜胆囊切除术治疗的无既往上腹部手术史的50例胆囊结石患者为无既往手术组.比较两组患者手术时间、住院时间、术后免疫功能和并发症发生率.结果 既往手术组患者手术时间[(59. 1 ± 21. 7) min]和粘连数[ 62. 0% ( 31/50 )]显著高于无既往手术组[( 45. 7 ± 18. 9)min、4. 0% (2/50)],差异有统计学意义( P<0. 05),既往手术组患者术中出血量[(63. 1 ± 20. 8)ml]、中转情况[6. 0% (3/50)]与无既往手术组[(58. 8 ± 11. 0) ml、0]比较,差异无统计学意义(P>0. 05).两组患者免疫功能比较,差异无统计学意义(P>0. 05).无既往手术组患者住院时间[(4. 6 ± 1. 7)d]与既往手术组[(5. 2 ± 1. 6)d]比较,差异无统计学意义(P>0. 05).结论 腹腔镜胆囊切除术治疗既往上腹部手术史患者术安全可靠,对患者免疫功能影响较小,值得在临床上推广应用.
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