CO_2气腹压力对腹腔镜胆囊切除术后肩痛的影响

Impact of carbon dioxide pneumoperiteum press on shoulder tip pain after laparoscopy cholecystectomy

目的:探讨CO2气腹压力对腹腔镜胆囊切除术后肩痛发生的影响。方法:随机选取行腹腔镜胆囊切除术100例,随机分为两组,每组50例,分别在1.3kPa和2kPa气腹压下行腹腔镜胆囊切除术。对比两组术后肩痛发生率及程度。结果:1.3kPa术后肩痛发生率明显低于2kPa,且多能耐受,程度较轻。结论:在1.3kPa气腹压力下行腹腔镜胆囊切除术不影响手术操作。术后肩痛发生率低,是行腹腔镜胆囊切除术较理想的气腹压。

Objective:To study the effects of carbon dioxide (COz) pneumoperitoneum pressure on shoulder tip pain after laparoscopic cholecystectomy(LC) .Methods:100 patients undergoing LC were randomized into two groups:50 cases were under 1.3kPa CO2 pneumoperitoneum pressure, and the other 50 cases were under 2kPa pressure.The incidence and degree of shoulder tip pain after LC were compared. Results: The incidence of postoperative shoulder tip pain of 1.3kPa group was less than that of 2kPa group( P<0.01) ,and the degree of shoulder tip pain was slighter either. Conclusions:The 1.3kPa pneumoperitoneum has no interference to operation procedure, and causes less shoulder tip pain after LC, so it's a proper pneumoperitoneum pressuer.