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目的：探讨腹腔镜及传统剖腹手术行腹腔胆囊切除术对术后肺功能的影响。方法：选择２０例腹腔镜组（Ａ组）、１６例剖腹手术组（Ｂ组）进行比较。结果：Ａ组仅在术后ｄ１和术前比较差异有显著性意义（Ｐ＜０．０５），Ｂ组在术后ｄ１～ｄ７时肺功能指标较术前差异有显著意义（Ｐ＜０．０５），Ａ组与Ｂ组比较，术后至ｄ５或ｄ７时差异仍有显著意义（Ｐ＜０．０５），Ａ组术后肺功能明显优于Ｂ组。结论：使用腹腔镜行胆囊切除术对肺功能损害明显小于剖腹胆囊切除术。
Objective: To investigate the effect of laparoscopic and conventional laparotomy on postoperative pulmonary function undergoing abdominal cholecystectomy. Methods: 20 cases of laparoscopic group (group A) and 16 cases of laparotomy group (group B) were selected for comparison. Results: The difference between group A and group B after operation was significant (P <0.05). Group B had significant difference in lung function between preoperative and postoperative d1 ~ d7 (P <0. 05). There was still significant difference between group A and group B after operation (P <0.05). The lung function of group A was superior to group B after operation. CONCLUSIONS: Laparoscopic cholecystectomy is less effective than laparotomy on laparoscopic cholecystectomy.