CO2气腹腹腔镜与双视免气腹腹腔镜在胆囊结石手术患者中的应用效果对比

Application Effect Comparison of CO2 Pneumoperitoneum Laparoscopy and Double-Vision Gasless Laparoscopy in the Treatment of Patients with Cholecystolithiasis

目的:探讨CO2气腹腹腔镜与免气腹腔镜在胆囊结石手术中的应用。方法:选择2012年10月~2017年10月在某院因胆囊结石行双视免气腹腹腔镜下胆囊切除术的35例为试验组,以及同期因胆囊结石行CO2气腹腹腔镜下胆囊切除术的35例为对照组。结果:试验组术后首次排气时间明显短于对照组、术后6h疼痛评分明显低于对照组,差异有统计学意义(P<0.05);两组患者术后12h疼痛评分、术后1d CRP比较,差异无统计学意义(P>0.05);试验组收缩压、舒张压、动脉血氧分压、呼气末CO2分压与对照组比较,差异有统计学意义(P<0.05);pH值无明显差异(P>0.05)。结论:双视免气腹腹腔镜手术治疗胆囊结石术后患者胃肠功能恢复快,对血流动力学的影响更小,建议临床进行推广应用。

Objective:To investigate the application of CO2 pneumoperitoneum and double-vision gasless laparoscopy in cholecystolithiasis surgery.Methods:A total of 35 patients who underwent double-vision gasless laparoscopy cholecystectomy from October 2012 to October 2017 due to cholecystolithiasis in a hospital were selected as the experimental group,and 35 cases of CO2 pneumoperitoneum laparoscopic cholecystectomy due to cholecystolithiasis in our hospital during the same period were selected as the control group.Results:The first exhaust time of the experimental group was significantly shorter than that of the control group,and the pain score was significantly lower than that of the control group at 6 hours after operation,the difference was statistically significant(P<0.05).There was no significant difference between the two groups in pain score 12 hours after surgery and CRP 1 day after surgery(P>0.05).Systolic blood pressure,diastolic blood pressure,partial arterial oxygen pressure,partial end-expiratory CO2 pressure in the experimental group were compared with the control group,and the differences were statistically significant(P<0.05),while the PH values were not significantly different(P>0.05).Conclusion:The double-vision gasless laparoscopy in the treatment of patients with cholecystolithiasis has a faster recovery of gastrointestinal function and less influence on hemodynamics,it is suggested to popularize and apply in clinic.