摘要
目的评价腹腔镜胆囊切除术不置胃管的临床效果。方法将289例腹腔镜胆囊切除术患者,随机分为置胃管组(A组,n=145)和不置胃管组(B组,n=144),对两组的手术时间、术后并发症和胃肠道功能的恢复时间、早期进食和下床活动时间、中转开腹率等方面进行对比分析。结果A组和B组的手术时间、术后并发症、中转开腹率均无统计学差异(P>0.05);但B组术后进食和下床活动时间更早、补液时间更短,与A组相比具有显著统计学意义(P<0.01)。结论腹腔镜胆囊切除术,术前常规放置胃管不必要,不置胃管创伤更小、痛苦更少、术后恢复更快。
Objective To compare the clinical outcomes of without gastric canal on laparoscopic cholecystectomy with putting gastric canal on laparoscopic cholecystectomy.Methods 289 patients receiving laparoscopic cholecystectomy were divided into two groups randomly,145 patients of which were put a gastric canal before operation （Group A,n=145）.and the other 144 patients were not （Group B,n=144）.After operation,some factors were compared between the two groups ,which including the time of operation,the functional recovery time of gastrointestinal tract,the time of eating and moving on floor,and the rate of conversion to open surgery.Results There are no significant differences between the two groups in operating time ,the rate of complications and conversion to open surgery （P〉 0.05）.But the Group B moved and took food earlier ,and the time of receiving fluid replacement was shorter than those with Group A. and these differences were statistically significant （P〈0.01）.Conclusions h is not necessary to put gastric canal in rule before the operation of laparoscopic cholecystectomy .the patients without gastric canal has the advantages of minimal invasion,less suffering . quicker recovery.
出处
《医学信息》
2008年第8期1406-1408,共3页
Journal of Medical Information
关键词
胃管
腹腔镜
胆囊切除术
gastric canal
laparoscopic
cholecystectomy
