腹腔镜手术不同气腹压力对患者术后肝功能影响

Influence of different pneumoperitoneum pressure on hepatic function of patients received laparoscopic cholecystectomy

目的探讨分析腹腔镜手术不同气腹压力对于患者术后各项肝功能影响。方法选取我院确诊收入治疗的100例患者,根据气腹压力分为低气腹压力组与高气腹压力组,分析对比两组患者术后各项肝功能状况。结果高气腹压力组患者术后肝功能指标AST、SLT、TBil、IBil均显著高于低气腹压力组,差异明显在统计学上有意义(P<0.05);两组患者血清吲哚氰氯滞留试验机动脉血酮体比值变化差异不明显(P>0.05)。结论腹腔镜手术采取不同气腹压力对于患者术后肝功能可产生不同影响,对于肝脏储备功能及其相关能量代谢则无显著影响。

Objective To investigate the influence of different pneumoperitoneum pressure on hepatic function of patients received laparoscopic cholecystectomy. Methods A hundred diagnosed patients were randomly divided into low pneumoperitoneum pressure group and high pneumoperitoneum pressure group,the change of postoperative hepatic function of both groups were observed. Results The levels of aspartate aminotransferase,glutamicpyruvic transaminase,total bihmbin and indirect bihmbin of the high pneumoperitoneum pressure group increased more significantly than those of the low pneumoperitoneum pressure group,and the differences were statistically significant（ P 〈0. 05）,but the changes of indocyanine- green test and arterial ketone body ratio of both groups were not very obvious. Conclusions Different pneumoperitoneum pressure produced different influence on hepatic function in patients,but the influence on liver reserve function and energy metabolism was not so significant.