气腹_人工；呼吸功能试验；胆囊切除术_腹腔镜_

腹腔镜胆囊切除术中气腹对呼吸系统功能的影响

http://www.100md.com 《腹腔镜外科杂志》 2006年第3期

气腹,人工；呼吸功能试验；胆囊切除术,腹腔镜,,气腹，人工；呼吸功能试验；胆囊切除术，腹腔镜,【摘要】,【关键词】,1资料与方法,2结果,3讨论,参考

     【摘要】 目的：探讨腹腔镜胆囊切除术(LC)和开腹胆囊切除术(OC)对患者肺功能的影响，比较两种术式的安全性。方法：选择LC患者20例，OC患者20例，分别于手术前和手术后第1、3天复查，测定项目包括用力肺活量(FVC)、1s用力呼气容积(FEV1)、最大呼气中段流量(FEF 25%～75%)、最大呼气流速(PEF)、最大通气量(MVV)、肺活量(VC)以及深吸气量(IC)，并进行对比。结果：两组病例之间比较，所有指标在手术后3d差异仍有统计学意义(P<0.05)。结论：LC对机体的肺功能影响小，是一种安全可靠的手术方式。

    【关键词】 气腹，人工；呼吸功能试验；胆囊切除术，腹腔镜

    Influence of pneumoperitoneum on the lung function in laparoscopic cholecystectomy

    WANG Chen,LI Xusheng.

    Dept.of General Surgery,Second Hospital of Lanzhou University,Lanzhou 730030,China

    【Abstract】 Objective:To explore the safety of laparoscopic cholecystectomy(LC)versus open cholecystectomy(OC)on the lung function.Methods:FVC,FEV1,FEF 25%75%,PEF,MVV,VC and IC before and on the 1st and 3rd day postoperative were detected in both LC group(n=20)and OC group(n=20).Results:There were significant differences between LC and OC group on lung function,particularly on 3rd day postoperative(P<0.05).Conclusions:This study demonstrates that LC is safe and reliable. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/07/13/02/82/16.htm

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