The gallbladder benign lesions are the common general surgical diseases and are characterized by severe pain, nausea, and vomiting during an acute attack. With no thorough curing, a repeated attack usually occurs; therefore, cholecystectomy is often required in the clinic[1]. Currently, open cholecystectomy (OC) and laparoscopic cholecystectomy (LC) are mostly involved in the clinic. LC is widely applied in the clinic due to its small trauma, rapid postoperative recovery, and maximum reduction of the effect of surgical trauma on the body, achieving the best therapeutic effect[2,3]. Some scholars argue that OC and LC have a certain effect on the immune function, and the mechanism is not yet completely clarified; moreover, there exists a controversy[4]. In the study, a total of 80 patients who were admitted in our hospital from October, 2014 to September, 2015 for cholecystectomy were included in the study in order to explore the effect of the two surgical methods on the body immune function.
目的49例甲状腺结节性患者,进行外科手术治疗。方法全部施行手术治疗,其中单纯结节切除34例,单侧腺叶加峡部切除13例,两叶次全切除2例。结果术后1例出现呛咳,2周后逐渐好转,无手足抽搐及声嘶的发生。术前4例声嘶患者,除1例甲状腺滤泡性癌术后无明显改善外,其余2例都有不同程度恢复。本组1例术前诊断为甲状腺腺瘤,仅做肿瘤摘除,术后病理报告为乳头状腺癌,再次行了腺叶加峡部切除术。本组病例均痊愈出院,至今尚未发现复发病例。结论手术切除是治疗甲状腺结节最有效的方法,除了亚急性甲状腺炎和慢性淋巴细胞性甲状腺炎外,我们主张进行手术治疗。