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腹腔镜与开腹结直肠癌根治术对原发性高血压患者心肺功能影响的前瞻性对照研究

刘翔 何震宇 汪宝林 张建平 赵庆洪 闻浩

南京医科大学学报(自然科学版)2012,Vol.32Issue(4):528-531,4.
南京医科大学学报(自然科学版)2012,Vol.32Issue(4):528-531,4.

腹腔镜与开腹结直肠癌根治术对原发性高血压患者心肺功能影响的前瞻性对照研究

Cardiopulmonary functions in laparoscopic versus open surgery for colorectal carcinoma complicated with primarv hvpertension:a prospective controlled study

刘翔 1何震宇 1汪宝林 1张建平 1赵庆洪 1闻浩1

作者信息

  • 1. 南京医科大学第二附属医院胃肠外科,江苏南京210011
  • 折叠

摘要

Abstract

Objective ;To assess the differences in cardiopulmonary functions between laparoscopic and open surgery for colorectal carcinoma complicated with primary hypertension. Methods: The clinical data of 205 patients with colorectal carcinoma complicated with primary hypertension between May 2008 and July 2010 in the Second Affiliated Hospital of NJMU were prospectively analyzed. Of all the patients,200 cases were finally included in the study,and were randomly allocated to laparoscope group (n = 102) and conventional operation group (n = 98). The HR,SBP,DBP and the results of blood gas analysis of patients at 1st day before operation, interoperation, 1st day after operation were recorded,pulmonary function on the 1st day before and after operation was analyzed as well. Results; The SBP,DBP and PaCO2 during interoperation increased significantly in the laparoscopic group than that in the conventional operation group. But on 1st day before operation and 1st day after operation,the results were not different between the two groups. Pulmonary function is better preserved after laparoscopic operation than that after conventional operation on the 1st day after operation. Conclusion; With equal degree of radical resection,laparoscopic technique for colorectal carcinoma complicated with primary hypertension causes less cardiopulmonary function injury as compared with conventional operation.

关键词

结直肠癌根治术/腹腔镜/原发性高血压/并发症/心肺功能

Key words

radical resection for colorectal carcinoma /laparoscopes/ primary hypertension {complication/ cardiopulmonary functions

分类

医药卫生

引用本文复制引用

刘翔,何震宇,汪宝林,张建平,赵庆洪,闻浩..腹腔镜与开腹结直肠癌根治术对原发性高血压患者心肺功能影响的前瞻性对照研究[J].南京医科大学学报(自然科学版),2012,32(4):528-531,4.

基金项目

江苏省第五批次“六大人才高峰”项目资助 ()

南京医科大学学报(自然科学版)

OA北大核心CSCDCSTPCD

1007-4368

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