腹腔镜胆囊切除术中不同低气腹压的运用  

Different low-pressure of pneumoperitoneum for laparoscopic cholecystectomy

作　　者：叶建宇[1] 周汉新[1] 彭毅[1] 张风涛[1] 钟立明[1] 周晓初[1] 熊沛[1] 尹耀新[1] 

机构地区：[1]北京大学深圳医院腔镜外科中心,深圳518036

出　　处：《中国基层医药》2002年第4期304-305,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的　探讨在腹腔镜胆囊切除术中不同低气腹压的合理应用。方法　 136例接受腹腔镜胆囊切除手术治疗的病人 ,前瞻性随机性分为两组。甲组 :1 4 0kPa(15mmHg) ,84例 ;乙组 :0 93kPa(7 0 0mmHg) ,5 2例 ;两组间进行研究。 结果　由同一组外科医生按同一操作常规施行手术 ,纳入观察的有关指标均未见到差异有显著意义。结论　选择低压气腹及适当辅助措施 ,对非高危病人也是可取的 ,对高危病人是必要的。Objective To discuss the reasonable application of different low pressure of abdominal cavity in laparoscopic cholecystectomy.Methods 136 patients with cholecystitis treated by laparoscopic cholecystectomy were divided into two groups.Group A:the pressure of pneumoperitoneum was 1.40kPa(10.20mmHg) in 84 cases;group B:0.93kPa(7.00mmHg) in 52 cases,and the related indicators were compared between the two groups.Results The same prccedure was carried out by the same group of surgeon.No significant differences in indicators were observed between two groups.Conclusion The proper low pressure of pneumoeritoneum in laparoscopic cholecystectomy reasonable and necessary for the high-risk patients and the non-high-risk patients.

关 键 词：腹腔镜胆囊切除术 低压气腹 辅助治疗 临床应用 

分 类 号：R657.4[医药卫生—外科学]