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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

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【作者】 刘津龙钟棠李严

【Author】 Liu Jinlong,Zhong Tang,Li Yan(541001) Second Peoples Hospital,Guilin,GuangXi

【机构】 广西桂林市第二人民医院

【摘要】 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。

【Abstract】 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.

  • 【分类号】R575.6
  • 【下载频次】17
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