摘要
目的探讨高原条件下腹腔镜胆囊切除术(LC)和开腹胆囊切除术(OC)对患者围术期呼吸系统参数的影响,比较两种术式的安全性。方法选择LC患者30例,OC患者30例,术中对比各时点(气腹后10、20、30min、放气后5min)呼吸系统参数(PETCO2、Paw、MVE、VCO2、VO2)的变化情况,手术前和手术后第1、4天复查,测定项目包括用力肺活量(FVC)、1s用力呼气容积(FEV1)、最大通气量(MVV)、肺活量(VC)以及深吸气量(IC),并进行对比。结果两组之间比较,所有指标差异均有统计学意义(P<0.05)。结论相对于OC,高原条件下LC对机体的肺功能影响小,是一种安全可靠的手术方式。
Objective To explore the safety of laparoscopic cholecystectomy（LC）versus open cholecystectomy（OC） on rspireation system parameters of patients during perioperative period in plateau.Methods To observe the chang of respication system parameters （PETCO2,Paw,MVE,VCO2,VO2） of patients at the point（after insufflation 10,20,30min,after withdrawal of CO2 insufflation 5min） during the operation,FVC,FEV1,MVV,VC and IC before and on the 1st and 4th day postoperative were detected in both LC group（n=30）and OC group（n=30）.Results There were significant differences between LC and OC group on lung function （P〈0.05）. Conclusion This study demonstrates that LC is safe and reliable than OC in plateau.
出处
《临床军医杂志》
CAS
2009年第5期882-883,共2页
Clinical Journal of Medical Officers
关键词
气腹
高海拔
呼吸功能
胆囊切除术
腹腔镜
pneumoperitoneum
plateau
respiratory function
holecystectomy
laparoscopy
