高原地区腹腔镜胆囊切除术对胃肠功能的影响  

Effect of Laparoscopic Cholecystectomy on Human Gastric and Intestinal Function in Plateau Region

作　　者：仲小舟[1] 赵泽文[1] 赵至成[1] 王福利[2] 朱家曙[1] 蒙禧增[1] 王磊[1] 杨剑[1] 王秀敏[1] 田朝刚[1] 张李平 

机构地区：[1]解放军第115医院 [2]解放军第四军医大学西京医院泌尿外科 [3]解放军77646部队72分队

出　　处：《临床军医杂志》2009年第6期957-959,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨高原地区腹腔镜胆囊切除术(LC)对胃肠道功能恢复的影响因素。方法回顾性分析LC 216例和OC 163例,观察患者的肛门排气时间和腹腔气体吸收时间,并分为急诊手术组、择期手术组进行统计分析。结果在择期手术中,LC组患者恢复肛门排气时间短于OC组(P<0.01),而在急诊手术中,两组患者恢复肛门排气的时间差别无统计学意义(P>0.05);在择期手术中,术后第3天,LC组和OC组患者的腹腔膈下游离气体吸收率分别为72%和38%(P<0.01),而急诊手术中,两组的吸收率分别为29%和24%(P>0.05)。结论腹部切口的大小、胆囊急性炎症和CO2气腹是影响高原地区LC术后胃肠功能恢复的主要因素。Objective To explore the factors affecting the recovery of gastric and intestinal function after laparoscopic cholecystectomy（LC） in plateau region.Methods The clinical data on 216 cases treated with LC and 163 with OC were analyzed retrospectively,including the observed index,such as passage of gas by anus and gas absorption in peritoneal cavity,and the data were divided into and emergency operation group selective operation group.Results In selective operation,cases treated with LC recovered passage of gas by anus earlier than those treated with OC with significant difference（P〈0.01）,but in emergency operation,with non-significant difference（P〉0.05）.Additionally,there was significant difference between the two groups about gas absorption in peritoneal cavity in selective operation,with LC 72% and OC 38% respectively（P〈0.01）,and there was no significant difference in emergency operation,with LC 29% and OC 24% respectively（P〉0.05）.Conclusion Such the size of abdominal incision,acute inflammation of cholecyst and carbon dioxide pneumoperitoneum as are the chief factors affecting the recovery of gastric and intestinal function post-LC in plateau region.

关 键 词：高原地区 腹腔镜胆囊切除术 胃肠功能 术后恢复 

分 类 号：R657.4[医药卫生—外科学]