腹腔镜与开腹胆囊切除术后胃肠动力恢复的对比研究

Comparison on Recovery of Gastrointestinal Motility Following Laparoscopic Cholecystectomy

目的探讨腹腔镜胆囊切除术与开腹胆囊切除术后胃肠动力的恢复情况。方法通过确定胃电图振幅、频率及术后肠鸣音恢复时间、肛门排气时间等几项指标联合观察了30例腹腔镜胆囊切除患者及18例开腹胆囊切除患者。结果腹腔镜胆囊切除术组患者手术前后胃电图振幅、频率的差异无显著意义（P〉0.05）;开腹切除术组患者术后第1-2天胃电图振幅、频率与术前及腹腔镜胆囊切除术组相比差异有显著意义（P〈0.05）;开腹胆囊切除术组患者术后肠鸣音恢复时间及肛门排气时间与腹腔镜胆囊切除术组相比差异有显著意义（P〈0.05）。结论腹腔镜胆囊切除术后患者胃肠动力恢复较开腹胆囊切除术后快,为临床上腹腔镜胆囊切除术后患者可早期进食提供了理论依据。

Objective To investigate the recovery of gastrointestinal motility after laparoseopic eholecysteetomy（LC） and open cholecysteetomy（OC）. Methods electrogastrogram（EGG） ,the peristaltic sound recovery timing（ PSRT） and the anorectum exhaust timing（AET） were determined in 30 patients with LC and 18 patients with OC. Results EGG frequency and EGG amplitude on the first, second and third day after operation in LC group were not signifieandy different in comparison with preoperative data （P 〉 0. 05）, but significant difference on the first and second postoperative day compared with preoperative data and data of the the LC group （P 〈 0. 05 ）. The PSET and AET in the LC group were much shorter in comparison with OC group（P 〈 0. 05 ）. Conclusion The recovery of gastrointestinal motility after LC is earlier than OC, which justifies early feeding for patients after LC.