置胃管对腹腔镜胆囊切除术的影响因素探讨

Influence of putting gastric canal on laparoscopic cholecystectomy

目的:探讨放置鼻胃管对腹腔镜胆囊切除术的影响因素。方法:287例接受LC手术的患者,随机分为置管组(n=144)和不置管组(n=143),对两组的手术持续时间、术后并发症和胃肠道功能的恢复时间、早期进食和下床活动时间、中转开腹率等方面进行比较分析。结果:统计结果显示,置胃管组和不置胃管组的手术时间、术后并发症、中转开腹率比较均无统计学差异;但不置胃管组术后36h内进流质饮食者更多,补液时间在72h内者更多,下床活动时间明显提前,与置胃管组相比具有显著统计学意义(P<0.01)。结论:LC手术前不常规放置鼻胃管是可行的。

Objective： To observe the effect of putting gastric canal on Laparoscopic cholecystectomy. Methods： 287 patients receiving laparosopic cholecystectomy were divided into two groups randomly, 144 patients of which were put a gastric canal before operation and the other 143 patients were not. After operation, some factors were compared between the two groups, which including the time of operation, the functional recovery time of gastrointestinal tract, the time of eating and moving on floor, and the rate of conversion to open surgery. Results： There are no significant differences between the two groups in operating time, the rate of complications and conversion to open surgery. But the patients without gastric canal moved and took food earlier, and the time of receiving fluid replacement was shorter than those who were put gastric canal before operation. Conclusions： It is not necessary to put gastric canal in rule before the operation of laparoscopic cholecystectomy.