腹腔镜胆囊切除术与开腹胆囊切除术术后肠粘连发生率的对比分析

Comparative Analysis of Intestinal Adhesions after Laparoscopic and Traditional Open Cholecystectomy

目的对比分析腹腔镜胆囊切除术与开腹胆囊切除术术后肠粘连的发生率。方法选取本院2018年1月-2019年12月收诊的60例胆囊结石伴慢性胆囊炎患者,根据手术方式,设定为腹腔镜组(30例)和开腹组(30例),比较两组患者术中、术后指标及术后发生肠粘连的概率。结果腹腔镜组的手术时间、出血量、术后胃肠功能恢复时间和术后首次下床活动时间都少于开腹组(P<0.05),术后发生肠粘连的概率明显低于开腹组(P<0.05)。结论腹腔镜切除胆囊术后肠粘连发生率低于开腹手术,值得临床推广。

Objective To investigate incidence of intestinal adhesions after laparoscopic and traditional open cholecystectomy.Methods The paper chose 60 patients with cholecystolithiasis and chronic cholecystitis in our hospital from January 2018 to December 2019,and divide them into laparoscopic group(30 cases)and laparotomy group(30 cases)based on different surgical methods.Intraoperative and postoperative indicators and incidence of postoperative intestinal adhesions were compared between two groups.Results Surgical time,bleeding volume,postoperative gastrointestinal function recovery time,first postoperative ambulation time in laparoscopic group was shorter than laparotomy group(P<0.05),and incidence of postoperative intestinal adhesions was significantly lower than laparotomy group(P<0.05).Conclusion Incidence of intestinal adhesions after laparoscopic cholecystectomy is lower than laparotomy surgery,which is worthy of clinical promotion.