开腹胆囊手术与腹腔镜胆囊手术术后肠粘连发生率的比较

Comparison of the incidences of postoperative intestinal adhesion between open cholecystectomy and laparoscopic cholecystectomy

目的比较开腹胆囊手术与腹腔镜胆囊手术术后肠粘连的发生率。方法选取2012—11-2014—11在该院接受治疗的110例胆囊结石患者作为研究对象，根据患者入院时间将其编号，按照随机数字表分为对照组和研究组各55例，对照组行开腹胆囊手术，研究组行腹腔镜胆囊手术。术后观察并随诊一年。观察记录两组患者术后肠粘连的发生情况。结果对照组手术时间、术中出血量、术后的胃肠功能恢复时间以及住院时间等均明显高于研究组（P〈0．05）。对照组进行开腹胆囊手术术后肠黏连的发生率为61．82％，研究组行腹腔镜胆囊手术术后肠黏连的发生率为7．27％，差异有统计学意义（χ2=38．4368，P〈0．05）。结论腹腔镜胆囊手术具有疗效好、并发症发生率低等优点，且安全性较高，值得在临床上推广使用。

Objective To observe the incidences of postoperative intestinal adhesion in open cholecystecto- my and laparoscopic cholecystectomy. Methods One hundred and ten patients with gallstones were collected as the research subjects from November 2012 to November 2014 and were divided into two groups according to the random number table. Group A（ n = 55 ） was treated with open cholecystectomy, and group B （n = 55 ） was treated with lapa- roscopic cholecystectomy. All cases were followed up for one year. The incidences of postoperative adhesion was com- pared between the two groups. Results The operating time, postoperative gastrointestinal function recovery time and time in group A were significantly longer than those in group B（ P 〈 0. 05 ）. The blood loss of group A was significant- ly more than that of group B（P 〈0. 05）. The incidence of postoperative intestinal adhesion of group A（61.82% ） was significantly higher than that of group B （7.27 % ） （χ2 = 38. 4368, P 〈 0. 05 ）. Conclusion Laparoscopic surgery has better effects and less complications than open cholecystectomy in the treatment of gallstone.