摘要
目的:探讨免气腹腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)与气腹LC的临床应用价值。方法:随机抽取60例胆囊疾病患者,分为免气腹LCⅠ组与气腹LC组各30例,同时选择合并慢性阻塞性肺病或冠心病的胆囊炎患者10例为免气腹LCⅡ组,进行临床观察和实验研究。结果:免气腹LC在术后镇痛药应用、术后体温、住院费用、并发症、血流动力学指标及免疫功能等均优于气腹LC。结论:(1)免气腹LC具有手术创伤小、术后患者痛苦轻、住院费用少等优点,优于气腹LC,术中出血量、术后应用抗生素时间两组差异无统计学意义;(2)免气腹LC较气腹LC在免疫功能方面更具优越性;(3)气腹改变血流动力学指标;(4)免气腹腹腔镜对因气腹禁忌而失去常规腹腔镜手术机会的患者具有重要的临床价值。
Objective：To investigate the clinical application value of non-pneumoperitoneum laparoscopic cholecystectomy（LC） and pneumoperitoneum LC.Methods：Sixty patients with gallbladder disease were randomly divided into non-pneumoperitoneum LCⅠ group（30 cases） and LC group（30 cases）,and 10 patients with gallbladder disease,chronic obstructive pulmonary diseases or coronary artery disease were selected as non-pneumoperitoneum LCⅡ group.Clinical observation and experiment study were done.Results：Non-pneumoperitoneum LC was better than pneumoperitoneum LC in postoperative analgesic administration,body temperature,hospitalization cost,complications,hemodynamics indexes and immune function.Conclusions：（1）Compared with pneumoperitoneum LC,non-pneumoperitoneum LC has the advantages of slight trauma,mild pain,and decreased economic burden.There is no significant difference in the bleeding during operation and time of using antibiotics after operation.（2）Non-pneumoperitoneum LC group has better immune function.（3）Pneumoperitoneum has a remarkable influence on the hemodynamics indexes.（4）For pneumoperitoneum contraindicated patients who have no routine laparoscopic operation chance,non-pneumoperitoneum LC has important clinical value.
出处
《腹腔镜外科杂志》
2010年第7期489-492,共4页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
气腹
人工
免气腹
白细胞介素类
血流动力学
对比研究
Cholecystectomy
laparoscopic
Pneumoperitoneum
artificial
Non-pneumoperitoneum
Interleukins
Hemodynamics
Comparative study
