廖恒江, 宋在如, 王家林. 腹腔镜与开腹胆囊切除术后发生胆囊切除术后综合征的比较[J]. 蚌埠医学院学报, 2012, 36(8): 962-963.
    引用本文: 廖恒江, 宋在如, 王家林. 腹腔镜与开腹胆囊切除术后发生胆囊切除术后综合征的比较[J]. 蚌埠医学院学报, 2012, 36(8): 962-963.
    LIAO Heng-jiang, SONG Zai-ru, WANG Jia-lin. Clinic analysis of postcholecystectomy syndrome followed laparoscopic and open cholecystectomy[J]. Journal of Bengbu Medical College, 2012, 36(8): 962-963.
    Citation: LIAO Heng-jiang, SONG Zai-ru, WANG Jia-lin. Clinic analysis of postcholecystectomy syndrome followed laparoscopic and open cholecystectomy[J]. Journal of Bengbu Medical College, 2012, 36(8): 962-963.

    腹腔镜与开腹胆囊切除术后发生胆囊切除术后综合征的比较

    Clinic analysis of postcholecystectomy syndrome followed laparoscopic and open cholecystectomy

    • 摘要: 目的:比较腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)和开腹胆囊切除术的胆囊切除术后综合征(postcholecystectomy syndrome,PCS)发生率的差异。方法:对299例开腹胆囊切除和139例LC患者PCS的发生情况进行比较。结果:开腹胆囊切除术和LC后PCS的发生率分别为29.8%和25.9%,差异无统计学意义(P;0.05);急性期开腹胆囊切除术后PCS的发生率(51.3%)较非急性期开腹和LC术发生率高(P0.01),胆总管结石行T管引流术后PCS的发生率较非急性期开腹胆囊切除术和LC术发生率高(P0.01)。结论:开腹胆囊切除术与LC后PCS的发生率无差异,急性期开腹胆囊切除和伴胆总管结石行T管引流的患者术后PCS的发生率明显增高。

       

      Abstract: Objective:To compare the rate of postcholecystectomy syndrome(PCS) followed laparoscopic and open cholecystectomy.Methods:Two hundred and twenty-nine cases of open cholecystectomy and 139 cases of laparoscopic cholecystectomy were retrospectively analyzed for the PCS rate.Results:There was no significant difference between open cholecystectomy and laparoscopic cholecystectomy for the PCS rate(P0.05).The PCS rate was higher in the patients who accepted cholecystectomy during acute phase when compared with non-acute phase(P0.01).Patients underwent T-tube drainage suffered from a much higher PCS rate when compared with other groups(P0.01).Conclusions:There is no significant difference between open cholecystectomy and laparoscopic cholecystectomy for the PCS rate.Patients in the acute phase and underwent T-tube have from a much higher PCS rate.

       

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