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目的探讨腹腔镜手术时建立人工气腹对泌尿系统的影响。方法通过Ovid Journals Full Text及Science Online等检索工具,检索国际国内相关腹腔镜手术文献报道,并对相关文献进行综合分析。结果气腹可使肾脏血流量减少,由此可引起尿量减少,气腹压力越高,气腹时间越长,这种变化越大。结论低气压气腹对泌尿系统影响较小,少尿的发生是一个短暂的、可逆的过程,不会造成明显肾功能损害。
Objective To investigate the effect of establishing artificial pneumoperitoneum on urinary system during laparoscopic surgery. Methods Through the search tools such as Ovid Journals Full Text and Science Online, we searched the literature about laparoscopic surgery in domestic and abroad, and analyzed the related literatures comprehensively. Results pneumoperitoneum can reduce renal blood flow, which can cause decreased urine output, pneumoperitoneum pressure is higher, the longer the pneumoperitoneum, the greater the change. Conclusions Low pressure pneumoperitoneum has little effect on urinary system. The occurrence of oliguria is a transient and reversible process without obvious renal dysfunction.