开腹手术及腹腔镜下胃穿孔修补术对患者肺功能影响的比较
A comparative analysis on the effect of laparoscopic repair of gastric perforation with open surgery on pulmonary function
应樱 1刘文 1黎亮 1周俊 1刘加良1
作者信息
- 1. 嘉兴市第一医院 呼吸内科,浙江 嘉兴 314000
- 折叠
摘要
目的 比较传统开腹手术及腹腔镜下胃穿孔修补术对患者术后肺功能的影响.方法 将嘉兴市第一医院2015年6月～2016年10月收治的50 例患者根据治疗方法分为2 组,A 组行传统开腹胃穿孔修补手术(n =25),B 组行腹腔镜下胃穿孔修补术(n =25).分别于术后第1、3、7 天检查一次肺功能并分别进行比较.结果 患者术后均有不同程度肺功能下降.术后A 组患者用力肺活量(forced vital capacity,FVC)以及第1 秒用力呼气量(forced expiratory volume in 1 second,FEV1)、肺活量(vital capacity,VC)均明显低于术前水平( P< 0.05),B组患者仅术后第1天降低明显.术后A组患者肺功能明显低于B组患者( P< 0.05).结论 腹腔镜下胃穿孔修补术对肺功能的损害明显小于传统开腹胃穿孔修补手术.腹腔镜手术对术后肺功能的恢复有重要作用.
Abstract
Objective To compare the effect of traditional open surgery and laparoscopic repair of gastric perforation on postoperative pulmonary function.Methods Fifty patients were divided into two groups according to therapeutic method.Group A underwent traditional open gastric perforation repair(n=25).Group B underwent laparoscopic repair of gastric perforation(n=25).The pulmonary functions were examined at 1 day,3 days and 7 days postoperatively.Results All patients had different degrees of postoperative pulmonary function decline.After operation,the forced vital capacity(FVC)and forced expiratory volume in 1 second(FEV1)and vital capacity(VC)in group A were significantly lower than those in preoperation(P<0.05).The patients in laparoscopic operation group decreased significantly only on the first day postoperative.The postoperative pulmonary function of patients undergoing open surgery was significantly lower than that of patients undergoing laparoscopic surgery(P<0.05).Conclusion Laparoscopic repair of gastric perforation has less damage to the lung function than traditional open gastric perforation repair.Laparoscopic surgery plays an important role in the recovery of postoperative pulmonary function.
关键词
胃穿孔修补术/肺功能/腹腔镜/开腹手术Key words
perforation repair/pulmonary function/laparoscope/open surgery引用本文复制引用
基金项目
2014嘉兴市重点学科（呼吸科）建设项目(201472号)
出版年
2017
NETL
NSTL
维普
万方数据