Jackson S A, Laurence A S, Hill J C
Department of Anaesthesia, Sharoe Green Hospital, Fulwood, Preston.
Anaesthesia. 1996 May;51(5):485-7. doi: 10.1111/j.1365-2044.1996.tb07798.x.
We studied 20 day case gynaecological laparoscopy patients, who had an erect chest X ray taken before discharge. Patients were telephoned the next day for a semi-structured interview. Particular note was made of shoulder tip pain and pain relieved by changing posture. The X ray was analysed for measurements of the length of arc and height of the gas bubble under each hemi-diaphragm, from which an estimation of bubble volume was also made. We found statistically significant correlations between both the length of arc (p = 0.005) and volume of gas bubble (p = 0.008) on the right side, with the pain score. Residual gas can be a prominent cause of post-laparoscopy pain.
我们研究了20例日间妇科腹腔镜手术患者，这些患者在出院前拍摄了直立位胸部X光片。次日通过电话对患者进行半结构化访谈。特别记录了肩尖部疼痛以及通过改变姿势缓解的疼痛情况。对X光片进行分析，测量每个半膈肌下方气泡弧的长度和高度，并据此估算气泡体积。我们发现右侧气泡弧长度（p = 0.005）和气 泡体积（p = 0.008）与疼痛评分之间均存在统计学显著相关性。残留气体可能是腹腔镜术后疼痛的一个主要原因。
