目的：对比腹腔镜与开腹胆囊切除术的不同临床疗效及并发症。方法选取2013年3月～2013年9月广东省深圳市龙华新区人民医院接受胆囊切除手术的患者共60例，其中33例行腹腔镜胆囊切除术为观察组，27例接受开腹胆囊切除术为对照组，手术后对两组患者临床疗效进行比较。结果观察组患者手术时间为（35.2±10.3）min、术中出血量为（40.1±7.2）ml、肠道功能恢复时间为（14.2±4.8）d，对照组手术时间为（54.3±12.4）min、术中出血量为（92.5±10.5）ml、肠道功能恢复时间为（29.3±5.6）h，同时观察组术后感染1例，感染率为3.0%，对照组术后感染4例，感染率14.8%，组间比较差异有统计学意义（P＜0.05）。结论腹腔镜胆囊切除术可减少手术时间，术中出血量少、对患者创伤小，术后恢复快，值得在临床上推广应用。%Objective To compare the clinical curative effect and complications between laparoscopic and open cholecystectomy. Method Frem March 2013 to September 2013 longhead new district Shenzhen city, Guangdong province people's hospital for a total of 60 patients with gallbladder surgery, including 33 underwent laparoscopic cholecystectomy for the observation group, 27 patients who underwent open cholecystectomy for control group, comparing the clinical efifcacy of two groups of patients after surgery. Results The patients in observation group operation time was (35.2 ± 10.3) min, the amount of intraoperative bleeding was (40.1 ± 7.2) ml, intestinal function recovery time was (14.2 ± 4.8) d, the control group operation time was (54.3 ± 12.4) min, the amount of intraoperative bleeding was (92.5 ± 10.5) ml, intestinal function recovery time was (29.3 ± 5.6) h, and the observation group of 1 cases of postoperative infection, the infection rate was 3%, control group with 4 cases of postoperative infection, the infection rate was 14.8%, there was statistical signiifcance between the two groups (P<0.05). Conclusion It that laparoscopic cholecystectomy can reduce the operation time, reduce the bleeding. Patient trauma is less and postoperative recovery, is rapid. It is worth of popularizing in clinical application.
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