CAJ | 학술논문

目的：研究腹腔镜下胆囊切除术对患者术后并发症及远期生活质量的影响。方法将胆囊炎合并胆石症患者纳入研究，随机分为给予腹腔镜下胆囊切除术的观察组和给予开腹胆囊切除术的对照组，观察术后并发症情况及远期生活质量。结果①观察组患者并发术中大出血以及术后腹痛、腹胀、胆囊瘘、肝外胆管损伤的例数少于对照组，差异有统计学意义（P<0.05）；②观察组患者术后躯体功能、心理功能、社会功能和总体生活质量评分均高于对照组，差异有统计学意义（P<0.05）。结论腹腔镜下胆囊切除术有助于减少并发症的发生、提高远期生活质量，具有积极的临床意义。
목적：연구복강경하담낭절제술대환자술후병발증급원기생활질량적영향。방법장담낭염합병담석증환자납입연구，수궤분위급여복강경하담낭절제술적관찰조화급여개복담낭절제술적대조조，관찰술후병발증정황급원기생활질량。결과①관찰조환자병발술중대출혈이급술후복통、복창、담낭루、간외담관손상적례수소우대조조，차이유통계학의의（P<0.05）；②관찰조환자술후구체공능、심리공능、사회공능화총체생활질량평분균고우대조조，차이유통계학의의（P<0.05）。결론복강경하담낭절제술유조우감소병발증적발생、제고원기생활질량，구유적겁적림상의의。
Objective To study the laparoscopic cholecystectomy on post operative complications and long-term quality of life. Methods Cholecystitis and chole lithiasis patients included in the study were randomly divided into giving laparoscopic cholecystectomy observation group and give open cholecystectomy in the control group were observed postoperative complications and long-term quality of life. Results ①The observation group patients within the operative and post operative bleeding, abdominal pain,bloating,gallbladder fistula, extra hepaticbile duct injury in the number of cases than in the control group, the difference was statistically significant (P<0.05); ②the observation group post operative physical function, mental function, social function, cognitive function and overall quality of life scores were higher, the difference was statistically significant(P<0.05). Conclusion Laparoscopic cholecystectomy can help reduce the incidence of complications and improve long-term quality,has a positive clinical value.