腹腔镜胆囊切除术与开腹胆囊切除术后并发症临床特征比较

蒋忠强

（陕西省汉中市宁强县天津医院，陕西 汉中，724400）

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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。

关键词：胆囊结石病；腹腔镜；胆囊切除术；手术后并发症

中图分类号：R657.4文献标志码：A文章编号：2096-1413(2016)18-0058-02

Clinical feature comparison of postoperative complications of laparoscopic cholecystectomy and open cholecystectomy
JIANG Zhong-qiang
(Tianjin Hospital of Ningqiang County, Hanzhong 724400, China)

ABSTRACT: Objective To investigate the clinical features of postoperative complications of laparoscopic cholecystectomy and open cholecystectomy. Methods One hundred and twenty cases of patients accepted cholecystectomy in our hospital from January 2015 to January 2016 were selected and divided into observation group and control group. Sixty patients who given laparoscopic cholecystectomy were classified as the observation group, and 60 patients who given open cholecystectomy were classified as the control group. The incidence rate of complications were compared between the two groups. Results The incidence rate of postoperative hemorrhage, postoperative distension of the abdomen and postoperative infection in the observation group were obviously lower than those in the control group (1.67% vs. 11.67%, 5.00% vs. 16.67%, 3.33% vs. 13.33%) (P<0.05). The incidence rate of obsturctive jaundice and biliary fistula of the two groups had no significant difference (P>0.05). The total incidence rate of complications of the observation group was obviously lower than that of the control group (13.33% vs. 50.00% ) (P <0.05). Conclusion The incidence rate of complications of laparoscopic cholecystectomy is obviously lower than that of open cholecystectomy.
KEYWORDS: cholelithiasis; laparoscope; cholecystectomy; postoperative complication

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