腹腔镜胆囊切除术与开腹胆囊切除术对胃肠动力恢复影响.docVIP

腹腔镜胆囊切除术与开腹胆囊切除术对胃肠动力恢复影响 　　[摘要] 目的 探讨腹腔镜与开腹胆囊切除术后的临床疗效及胃肠动力的恢复情况。方法 分析我院2011年1月～2013年1月收治的行胆囊切除术患者174例，其中行腹腔镜胆囊切除术患者84例，开腹胆囊切除术90例。比较两组术后切口长度、术中出血量和手术时间、止痛药使用例数、术后下床时间和住院时间、肠鸣音恢复时间及肛门排气时间及不良反应发生情况。结果 ①两组治疗后切口长度、术中出血量和手术时间、止痛药使用例数、术后下床时间和住院时间比较，腹腔镜组均低于开腹组（P0.05）。 结论 腹腔镜胆囊切除术后患者胃肠动力恢复快，且不增加不良反应发生率，值得临床推广应用。 　　[关键词] 胆囊切除术；腹腔镜；开腹术；胃肠动力 　　[中图分类号] R657.4 [文献标识码] B [文章编号] 1673-9701（2013）25-0127-02 　　The influence on gastrointestinal motility recovery after laparoscopic cholecystectomy and open cholecystectomy 　　ZOU Yong 　　Surgical Department， the Fourth Hospital of Haimen City in Jiangsu Province，Haimen 226141，China 　　[Abstract] Objective To evaluate the clinical effect and recovery on gastrointestinal motility after laparoscopic and open cholecystectomy. Methods A total of 174 patients of cholecystectomy in our hospital from January 2011 to January 2013 were analyzed. 84 patients were treated by laparoscopic cholecystectomy.90 patients were treated by open cholecystectomy. The length of incision，intraoperative bleeding， operation time， the cases of analgesic use， the postoperative time of get out of bed， length of stay，the time of bowel sound recovery， anal exhaust time and the incidence of adverse reactions were compared between two groups after treatment. Results （1） The length of incision， intraoperative bleeding， operation time， the cases of analgesic use， the postoperative time of get out of bed， length of stay in laparoscopic group after treatment were lower than the open group（P0.05）.Conclusion Patients of gastrointestinal motility have rapid recuperation after laparoscopic cholecystectomy. Laparoscopic cholecystectomy does not increase the incidence of adverse reactions， it is worthy of clinical application. 　　[Key words] Cholecystectomy； Laparoscopy； Laparotomy； Gastrointestinal motility 　　胆囊疾??多需行胆囊切除术治疗，近年腹腔镜胆囊切除术广泛应用于临床，具有创伤小、痛苦少、恢复快等优点[1]。本文探讨腹腔镜与开腹胆囊切除术后的临床疗效及胃肠动力的恢复情况，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选择我院2011年1月～2013年1月收治的行胆囊切除术患者174例，其中胆囊结石患者75例