不同胆囊切除术(腹腔镜、开腹)诱发术后肠粘连的分析

Analysis of postoperative intestinal adhesion induced by different cholecystectomy(laparoscopy or laparotomy)

目的对比分析为患者行开腹胆囊切除手术、腹腔镜胆囊切除手术诱发术后肠粘连的几率。方法从在我院实施胆囊切除术的患者中随机选取88例为本次研究对象,按照随机抽签法将患者分成开腹手术组和腹腔镜组,各44例。开腹手术组患者采用开腹胆囊切除术方案治疗,腹腔镜组患者实施腹腔镜胆囊切除术治疗。对比两组的肠粘连发生率及预后。结果腹腔镜组的肠粘连发生率显著低于开腹手术组(P<0.05)。治疗后,两组患者的症状、对生活的影响、活动能力及总评分均降低,且腹腔镜组低于开腹手术组(P<0.05)。结论与开腹手术相比,为胆囊切除术患者施行腹腔镜手术的术后肠粘连发生率较低。

Objective To compare and analyze the probability of postoperative intestinal adhesion in patients undergoing laparotomy and laparoscopic cholecystectomy. Methods A total of 88 cases of patients undergoing cholecystectomy in our hospital were selected, and divided into laparotomy group and laparoscopic group according to the random draw, with 44 cases in each group. The laparotomy group received laparotomy cholecystectomy, while the laparoscopic group accepted laparoscopic cholecystectomy. The incidence of intestinal adhesion and prognosis were compared between the two groups. Results The incidence of intestinal adhesion in the laparoscopic group was significantly lower than that in the laparotomy group（P〈0.05）. After treatment, the symptoms, life-affecting ability, total activity and the total scores of the two groups decreased, and those of the laparoscopic group were lower than the laparotomy group（P〈0.05）. Conclusion Compared with laparotomy, the postoperative intestinal adhesion rate of patients undergoing laparoscopic cholecystectomy is low.