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目的探讨腹腔镜下妇科手术联合胆囊切除术的可行性。方法回顾性分析24例腹腔镜下行妇科手术联合胆囊切除术患者的临床资料,观察其手术时间、术中出血量、术后排气时间、术后发热情况、术后抗生素应用时间、切口感染例数、住院时间等情况,并将其与同期行单纯腹腔镜妇科手术的病人(对照组)进行对照分析。结果24例患者的联合手术全部成功,无中转开腹者,无术中及术后并发症,术中、术后各指标与对照组比较差异均无统计学意义(P>0.05)。结论腹腔镜下妇科联合胆囊手术安全可行并具有一定的优越性。
Objective To investigate the feasibility of laparoscopic gynecological surgery combined with cholecystectomy. Methods The clinical data of 24 patients undergoing laparoscopic gynecological surgery combined with cholecystectomy were retrospectively analyzed. The operative time, intraoperative blood loss, postoperative exhaust time, postoperative fever, postoperative antibiotic application time and incisional infection were observed Number of hospital stay, etc., and compared with patients with simple laparoscopic gynecological surgery (control group) during the same period. Results All the 24 cases were successful in the combination operation. There were no intraoperative and postoperative complications in the 24 patients. No significant difference was found in the indexes between the two groups (P> 0.05). Conclusion Laparoscopic gynecology combined with gallbladder surgery is safe and feasible and has some advantages.