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[经典及腹腔镜胆囊切除术治疗慢性胆囊结石患者的抗凝血酶III、蛋白C及凝血酶/抗凝血酶III复合物(TAT)]

[Antithrombin III, protein C and thrombin/antithrombin III complexes (TAT) in patients suffering from chronic cholecystolithiasis treated by classical and laparoscopic cholecystectomy].

作者信息

Lewandowski Jacek J, Galar Marzenna, Mazgajska-Barczyk Katarzyna, Panek Marian, Kłoczko Janusz

机构信息

Oddział Chirurgii Ogólnej Wojewódzkiego Szpitala Zespolonego w Białymstoku.

出版信息

Pol Merkur Lekarski. 2002 Aug;13(74):119-22.

Abstract

Surgery is the basic treatment method of cholecystolithiasis. Traditional methods have been replaced laparoscopy. The aim of the study was the evaluation of haemostasis after classical and laparoscopic cholecystectomy. The studies were conducted in 48 patients suffering from chronic cholecystolithiasis--29 of them were operated on by laparoscopy, 19 patients were operated on by classical way. We revealed, that classical and laparoscopic cholecystectomy cause a similar increase of thrombin generating in vascular bed and are risk factors for occurrence of thrombo-embolic complications.

摘要

手术是胆囊结石的基本治疗方法。传统方法已被腹腔镜手术所取代。本研究的目的是评估经典胆囊切除术和腹腔镜胆囊切除术后的止血情况。研究针对48例慢性胆囊结石患者展开,其中29例行腹腔镜手术,19例行传统手术。我们发现,经典胆囊切除术和腹腔镜胆囊切除术在血管床中引起的凝血酶生成增加相似,都是血栓栓塞并发症发生的危险因素。

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