开腹与腹腔镜胆囊切除术后综合征的分级与评估

摘要

目的：探讨开腹与腹腔镜胆囊切除术后综合征（PCS）的分级与评估。方法在374例配合随访的365名患者中，随机选取124例腹腔镜胆囊切除术患者（LC 组）和124例开腹胆囊切除术患者（OC 组），对比分析术后10个月2组发生 PCS 的情况。结果 LC 组和 OC 组术后 PCS 的发生率分别为26．6％、25．8％，2者比较差异无统计学意义（P ＞0．05）；术后 LC 组需要外科手术治疗的患者比例高于 OC 组（7．3％ vs．0．8％），且 LC 组术后发生 PCS 的严重程度高于 OC 组（P ＜0．05）。结论LC 组在减少术后PCS 的发生率上无优势，且发生PCS 的严重程度高于OC 组。%Objective To explore the classification and valuation of postcholecystectomy syndrome (PCS)after open or laparoscopic cholecystectomy.Methods 124 patients with laparo-scopic cholecystectomy (LC group)and 124 patients with cholecystectomy (OC group)were select-ed randomly from 365 patients with follow-up.The conditions of PCS were compared between the two groups after 10 months of surgery.Results The difference of incidence rate of PCS in the LC group (26.6%)and OC group (25.8%)was no statistically significant (P >0.05);The postoper-ative symptoms and the proportion of patients (7.3% in LC group and 0.8% in OC group)requir-ing surgical operation treatment in LC group was higher than that in OC group (P <0.05).The se-vere degree of PCS after operation in LC group was higher than that of OC group.Conclusion LC group has no advantage to reduce the incidence rate of PCS,and the PCS of LC group is more severe than that of OC group.