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目的比较开腹胆囊切除术与腹腔镜胆囊切除术发生医院感染的情况。方法采用回顾性调查和统计分析方法对该医院两种手术方法实施胆囊手术医院感染进行比较。结果196例用传统开腹胆囊切除术有13例次发生医院感染,例次感染率为6.63%。247例用腹腔镜实施胆囊切除术有6例次发生医院感染,例次感染率为2.43%。两组手术发生医院感染率有明显差异(P<0.05),感染部位以呼吸道感染为主。结论腹腔镜胆囊切除相对传统开腹胆囊切除术,明显降低了医院感染率。
Objective To compare the incidence of nosocomial infections in open cholecystectomy and laparoscopic cholecystectomy. Methods Retrospective survey and statistical analysis were used to compare the two operation methods of hospital gallbladder surgery hospital infection. Results Of the 196 cases with conventional open cholecystectomy, 13 cases of nosocomial infections, the case-time infection rate was 6.63%. 247 cases of laparoscopic cholecystectomy occurred in 6 cases of nosocomial infections, the second most common infection rate was 2.43%. Nosocomial infection rates were significantly different between the two groups (P <0.05). The most common infection was respiratory tract infection. Conclusions Laparoscopic cholecystectomy is more effective than conventional open cholecystectomy in reducing the nosocomial infection rate.