CAJ | 학술논문

目的：比较开腹胆囊切除术与腹腔镜胆囊切除手术两种术式的肠粘连发生率。方法选择于2013年5月～2014年11月期间在我院接受胆囊手术的胆道疾病患者46例作为研究对象，按照患者意愿分为对照组（23例）和观察组（23例）。对照组患者行开腹手术，观察组患者行腹腔镜手术，每组23例，比较两组患者的并发症及其他情况。结果在术后肠粘连发生率方面，对照组为30.43%，观察组为4.34%，组间差异有统计学意义（P＜0.05）；在手术时间、术后下床时间、住院时间、术中出血量方面，对照组与观察组间差异有统计学意义（P＜0.05）。结论腹腔镜胆囊手术术后肠粘连发生率较低，且具有术中出血少，术后恢复快等优点。
목적：비교개복담낭절제술여복강경담낭절제수술량충술식적장점련발생솔。방법선택우2013년5월～2014년11월기간재아원접수담낭수술적담도질병환자46례작위연구대상，안조환자의원분위대조조（23례）화관찰조（23례）。대조조환자행개복수술，관찰조환자행복강경수술，매조23례，비교량조환자적병발증급기타정황。결과재술후장점련발생솔방면，대조조위30.43%，관찰조위4.34%，조간차이유통계학의의（P＜0.05）；재수술시간、술후하상시간、주원시간、술중출혈량방면，대조조여관찰조간차이유통계학의의（P＜0.05）。결론복강경담낭수술술후장점련발생솔교저，차구유술중출혈소，술후회복쾌등우점。
Objective To compare the open cholecystectomy with laparoscope gallbladder surgery to remove the two operation the incidence of intestinal adhesion.Methods 46 patients underwent gallbladder surgery for biliary disease patients as the study object in May 2013 to November 2014 in our hospital, according to the wishes were divided into control group patients (23 cases) and observation group (23 cases). Control group patients open operation, observation group of patients with laparoscopic surgery, 23 cases in each group, compared two groups of patients with complications and other conditions.Results In terms of the incidence of postoperative intestinal adhesion, the control group 30.43%, control group was only 4.34%, signiifcant difference between groups (P<0.05). In the operation time, postoperative bed time, intraoperative blood loss, hospital stay, significant differences in the control group and observation group (P< 0.05).Conclusion Laparoscopic gallbladder surgery a lower incidence of postoperative intestinal adhesion, and has less intraoperative bleeding and postoperative recovery fast, etc.