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腹腔镜胆囊切除术对急性胆囊炎患者肝损伤的影响分析

周晓 王莉

中国伤残医学2025,Vol.33Issue(5):59-63,5.
中国伤残医学2025,Vol.33Issue(5):59-63,5.DOI:10.13214/j.cnki.cjotadm.2025.001.014

腹腔镜胆囊切除术对急性胆囊炎患者肝损伤的影响分析

Effect of Laparoscopic Cholecystectomy on Liver Injury in Patients with Acute Cholecystitis

周晓 1王莉2

作者信息

  • 1. 山东省淄博市淄川区医院普外科,山东 淄博 255000
  • 2. 山东省淄博市淄川区中医院内一科,山东 淄博 255000
  • 折叠

摘要

Abstract

Objective:To investigate the effect of laparoscopic cholecystectomy on liver injury in patients with acute cholecystitis.Methods:Data of 100 acute cholecystitis patients who underwent surgical treatment in Zichuan District Hospital from January 2023 to March 2024 were retrospectively analyzed,and were divided into a control group and a study group according to different surgical protocols,with 50 cases in each group.The control group was treated with open cholecystectomy,while the study group was treated with laparoscopic cholecystectomy.Liver function indexes,stress response and the occurrence of complications were compared between the two groups.Results:There were no significant differences in alanine aminotransferase,aspartate aminotransferase,γ-glutamyl transpeptidase levels between the two groups on day 1 and 5 after surgery(P>0.05);the serum C-reactive protein(CRP)levels in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the study group was 2.00%,which was lower than 18.00%in the control group,the difference was statistically significant(P<0.05).Conclusion:Laparoscopic cholecystectomy in patients with acute cholecystitis does not cause serious liver injury,and can reduce CRP level,improve safety,and significantly improve the prognosis of patients.

关键词

急性胆囊炎/腹腔镜胆囊切除术/肝损伤/并发症

Key words

Acute cholecystitis/Laparoscopic cholecystectomy/Liver injury/Complication

分类

医药卫生

引用本文复制引用

周晓,王莉..腹腔镜胆囊切除术对急性胆囊炎患者肝损伤的影响分析[J].中国伤残医学,2025,33(5):59-63,5.

中国伤残医学

1673-6567

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