剖腹手术及腹腔镜行胆囊切除术对肺功能影响的比较

STUDY THE CHANGE OF THE LUNG FUNCTIONAFTER CHOLECYSLECTOMY OPERATIONSIN CELIOTOMY AND IN LAPAROSCOPE

目的：探讨腹腔镜及传统剖腹手术行腹腔胆囊切除术对术后肺功能的影响。方法：选择２０例腹腔镜组（Ａ组）、１６例剖腹手术组（Ｂ组）进行比较。结果：Ａ组仅在术后ｄ１和术前比较差异有显著性意义（Ｐ＜０．０５），Ｂ组在术后ｄ１～ｄ７时肺功能指标较术前差异有显著意义（Ｐ＜０．０５），Ａ组与Ｂ组比较，术后至ｄ５或ｄ７时差异仍有显著意义（Ｐ＜０．０５），Ａ组术后肺功能明显优于Ｂ组。结论：使用腹腔镜行胆囊切除术对肺功能损害明显小于剖腹胆囊切除术。

Objective:To explore the effects of the lung function after cholecystectomy operations in celiotomy and in laparoscope.Method:We observed 20 cases patients with laparoscope(group A)and 16 cases patients who received celiotomy (group B).Result:Significant differences were found in the group B to all pulmonary function values compared with preoperative values from the lst to 7th postoperative day (P<0.05),the group A showed only a remarkable difference on the first day after operation (P<0.05),comparing the group A with the group B showed a significant difference until the 5th to 7th day (P<0.05).This study confirms that the group A is supperior to group B.Conclusion:The results suggested that in all patients the lung function was harmed by operation,but it is more serious in conventional cholecystectomy patients than in laparoscopic cholecystectomy patients.