经脐单孔腹腔镜辅助整形术治疗急性胆囊炎的临床效果

目的:探讨单孔腹腔镜辅助整形术(TUES)对急性胆囊炎患者腹壁美观及其肝功能的影响。方法:选取我院急性胆囊炎择期手术患者130例,随机分为观察组和对照组。观察组采用经脐单孔腹腔镜胆囊切除术联合整形术,对照组采用三孔腹腔镜胆囊切除术。观察并比较两组手术时间、术后疼痛评分、切口满意度及肝功能指标的变化情况。结果:与对照组比较,观察组患者手术时间长,术后疼痛评分低,患者对切口美观满意度高,差异具有统计学意义(P0.05)。两组住院日无显著差异(P0.05)。两组患者术前ALT、AST和ALP水平无显著差异(P0.05)。两组患者术后ALT、AST和ALP水平均高于术前,组内比较差异具有统计学意义(P0.05)。观察组患者术后ALT、AST和ALP水平低于对照组,组间比较差异具有统计学意义(P0.05)。结论:单孔腹腔镜辅助整形术能够改善急性胆囊炎患者病情,提高腹壁美观效果,而且对肝功能影响较小,值得临床推广。

Clinical Effect of TUES on the Treatment of Acute Cholecystitis

Objective:To explore single-arch laparoscopic assisted orthopaedic surgery (TUES) on the abdominal appearance andliver function of patients with acute cholecystitis.Methods:130 patients with acute cholecystitis undergoing the elective surgery wereselected and randomly divided into the observation group and the control group. The patients in the observation group were treated withthe umbilical single-arch laparoscopic cholecystectomy, while the patients in the control group were taken the laparoscopiccholecystectomy. Then the operation time, postoperative pain score, satisfaction of incision and the changes of liver function indexes ofpatients in the two groups were observed and compared.Results:Compared with the control group, the operation time, postoperativepain score and atisfaction of incision in the observation group were much better, and the differences were significant (P<0.05). There wasno statistically significant difference about the hospitalization between the two groups (P>0.05). There was no statistically significantdifference about the levels of ALT, AST and ALP of patients in the two groups before surgery (P>0.05). After surgery, the levels of ALT,AST and ALP of patients in the groups were higher than before (P<0.05). The levels of ALT, AST and ALP in the observation groupwere lower than those of the control group with statistically significant differences (P<0.05).Conclusion:Single-arch laparoscopicassisted orthopedic surgery, which can improve the patients with acute cholecystitis, improve the effect of the abdominal wall, and haslittle impact on liver function, is worthy of promotion.