摘要
目的分析腹腔镜胆囊切除术与开腹胆囊切除术术后并发症发生情况及临床特征。方法选择2015年1月至2016年1月在我院实施胆囊切除术的患者120例,将60例行腹腔镜胆囊切除术的患者设为观察组,60例行开腹胆囊切除术的患者设为对照组。比较两组患者术后并发症发生情况。结果观察组患者术后并发症如出血、术后腹胀和术后感染等发生率明显低于对照组(1.67%vs.11.67%,5.00%vs.16.67%,3.33%vs.13.33%)(P<0.05);两组患者术后阻塞性黄疸及胆瘘发生率比较,差异无统计学意义(P>0.05)。观察组术后并发症总发生率明显低于对照组(13.33%vs.50.00%),差异具有统计学意义(P<0.05)。结论腹腔镜胆囊切除术相较于传统胆囊切除术,具有术后并发症发生率低、创伤小、恢复快等优点。
Objective To invesligale the clinical features of posloperalive complicalions of laparoscopic cholecysleclomy and open cholecysleclomy. Methods One hundred and twenty cases of palienls accepted cholecysleclomy in our hospilal from January 2015 lo January 2016 were selecled and divided inlo observalion group and conlrol group. Sixly palienls who given laparoscopic cholecysleclomy were classified as lhe observalion group, and 60 palienls who given open cholecysleclomy were classified as lhe conlrol group. The incidence rale of complicalions were compared between lhe lwo groups. Results The incidence rale of posloperalive hemorrhage, posloperalive distension of lhe abdomen and posloperalive infection in lhe observalion group were obviously lower than those in lhe conlrol group （1.67% vs. 11.67%, 5.00% vs. 16.67%, 3.33% vs. 13.33%） （ P〈0.05）. The incidence rale of obslurclive jaundice and biliary fistula of lhe lwo groups had no significant difference （ P〉0.05）. The lolal incidence rale of complicalions of lhe observalion group was obviously lower than lhal of lhe conlrol group （13.33% vs. 50.00%） （ P 〈0.05）. Conclusion The incidence rale of complicalions oflaparoscopic cholecysleclomy is obviously lower than lhal of open cholecysleclomy.
出处
《临床医学研究与实践》
2017年第18期58-59,共2页
Clinical Research and Practice
关键词
胆囊结石病
腹腔镜
胆囊切除术
手术后并发症
cholelithiasis
laparoscope
cholecysleclomy
posloperalive complication
