腹腔镜胆囊手术与开腹胆囊手术术后肠粘连发生率对比探讨  

Comparison and investigate of incidence of postoperative intestinal adhesion between laparoscopic and laparotomy gallbladder operations

作　　者：陆海涛[1] 

机构地区：[1]沈阳医学院附属中心医院,110024

出　　处：《中国实用医药》2015年第22期32-33,共2页China Practical Medicine

摘　　要：目的对比分析腹腔镜胆囊手术与开腹胆囊手术术后肠粘连的发生情况。方法 60例自愿接受研究的胆囊手术患者,随机分为两组,对照组(30例)采取开腹手术处理,研究组(30例)采取腹腔镜手术处理。观察记录两组患者手术时间、疼痛时间、术后肛门排气时间及住院时间,同时统计两组的术后肠粘连发生情况,并对比分析。结果研究组手术时间、疼痛时间、术后肛门排气时间及住院时间均明显短于对照组(P<0.05),研究组术后肠粘连发生率3.33%明显低于对照组40.00%(P<0.05)。结论胆囊手术患者采取腹腔镜处理效果更佳,除了手术时间短、恢复快及住院时间短外,术后肠粘连发生率更低,值得借鉴。Objective To compare and analyze occurrence of postoperative intestinal adhesion between laparoscopic and laparotomy gallbladder operations. Methods A total of 60 gallbladder operation patients in voluntary research were randomly divided into two groups. The control group（30 cases） received laparotomy treatment, and the research group（30 cases） received laparoscopic operation. Records were made on operation time, pain time, postoperative anal exhaust time, and hospital stay of the two groups. Occurrences of postoperative intestinal adhesion were summarized in the two groups for comparative analysis. Results The research group had much shorter operation time, pain time, postoperative anal exhaust time, and hospital stay than the control group（P〈0.05）. Incidence of postoperative intestinal adhesion was obviously lower in the research group as 3.33% than 40.00% in the control group（P〈0.05）. Conclusion Implement of laparoscope for gallbladder operation patients provide precise effect, along with short operation, recovery time and hospital stay, and low incidence of postoperative intestinal adhesion as well.

关 键 词：胆囊手术 开腹 腹腔镜 术后肠粘连 

分 类 号：R657.4[医药卫生—外科学]