腹腔镜胆囊切除和下腹部妇科腹腔镜术后肺功能的比较研究

Comparative postoperative pulmonary function after laparoscopic cholecystectomy and hypogastralgia gynecological laparoscopy

目的:比较腹腔镜胆囊切除和下腹部妇科腹腔镜术后患者肺功能改变的不同。方法:30例女性患者分为3组:腹腔镜胆囊切除组(A组),下腹部妇科腹腔镜手术组(卵巢囊肿、宫外孕)(B组)和微创妇科腹腔镜手术组(诊断、输卵管结扎)(C组),每组10例。手术后第3、6小时和第1、2天各做1次肺功能检查。结果:A组患者术后肺功能明显改变,肺活量、第1秒用力呼气量和最大通气量均下降,B组术后当日肺功能有轻微改变,C组术后肺功能无改变。结论:下腹部妇科腹腔镜手术后肺功能的改变少于腹腔镜胆囊切除术,腹腔镜手术部位对术后肺功能变化有重要作用。

Objective： To compare the pulmonary function impairment after laparoscopic cholecyslectomy and hypogastralgia gynecological laparoscopy. Methods：Thirty female patients were divided into three growps： laparoscopic cholecystectomy growp （group A）, hypogastralgia gynecological laparoscopy group（ group B）, micro-gynecological laparoscopy group（ group C）. Each group include 10 patients. Pulmonary function tests were performed in postoperative three and six hour, the first and second day. Results：The pulmonaryfunction of group A changed obviously. The lung capacities forced experitory volume of first second and fanefion had changed lightly of group B in opeative day. The pulmonary fanction never changed of group C. Conclusions：The postoperative pulmonary function is less impaired of hypogastria gynecological laparoscopy than laparoscopic cholecystectomy. The operative site is an important determiant of pulmonary dysfunction after laparoscopy.