【摘要】 目的探讨腹腔镜与开腹胆囊切除术对老年糖尿病病人的影响。方法2002年8月至2006年6月采用前瞻性方法分析腹腔镜胆囊切除术(观察组35例)和开腹胆囊切除术(对照组34例)对老年2型糖尿病病人手术前后血糖、胰岛素及胰岛素抵抗的影响。结果观察组术后即时血糖明显低于对照组(P<0.01);观察组术后即时胰岛素与对照组差异无显著性意义(P>0.05);观察组术后胰岛素敏感性明显高于对照组(P<0.01)。结论腹腔镜胆囊切除术对老年2型糖尿病病人血糖及胰岛素抵抗的影响明显小于开腹胆囊切除术。更多还原

【Abstract】 Objective To investigate the influence of laparoscopic and open cholecystectomy on geriatric patients with type 2 diabetes mellitus.Methods Among the 69 geriatric patients with gallstones and type 2 diabetes mellitus admitted between August 2002 and June 2006,35 cases performed laparoscopic cholecystectomy served as experimental group,and 34 cases performed open cholecystectony served as control group.The glucose level,insulin level and insulin resistance were compared between two groups.Results The postoperative glucose levels in experimental group was significantly lower than those in control group(P<0.01).There was no significant difference in postoperative insulin level between two groups(P>0.05).Postoperative insulin sensitivity in experimental group was significantly higher than that in control group(P<0.01).Conclusion Laparoscopic cholecystectomy has less influence on the glucose level and insulin resistance in geriatric patients with type 2 diabetes mellitus compared with open cholecystectony,更多还原