腹腔镜胆囊切除术并发症调查统计及相关危险因素分析

发表时间：2014-02-21 浏览次数：809次

引用：

史华明，王惟，吴龙.腹腔镜胆囊切除术并发症调查统计及相关危险因素分析[J].吉林医学,2014,35(6):1123-1124.

关键词：

腹腔镜胆囊切除术；并发症；危险因素

作者：

史华明，王惟，吴龙

作者单位：

安徽省安庆市第一人民医院普外科，安徽安庆 246001

出版年份：

2014

期刊页数：

1123-1124.

收录者：

知网,万方

摘要：

目的：对腹腔镜胆囊切除术（LC）并发症进行调查分析，探讨LC并发症的主要危险因素。方法：对行腹腔镜切除术的860例患者进行分析，选取9个相关因素进行多因素logistic回归分析，探讨腹腔镜胆囊切除术术后并发症的相关危险因素。结果：860例LC手术患者中发生手术并发症共16例，发生率为1.86%。主要并发症有腹壁戳孔大出血、戳孔疝、胆囊动脉滑脱出血、右侧肝管夹闭损伤、胆总管横断损伤、胆囊管残余结石和术后胆漏。Logistic多因素回归分析发现，导致LC手术并发症主要危险因素有病程、囊壁厚度、囊壁与周围组织粘连、Calot三角粘连以及手术史（P值分别为0.000，0.041，0.006，0.004，0.013，0.000）。结论：病程、囊壁厚度、囊壁与周围组织粘连、Calot三角粘连以及手术史与LC手术并发症密切相关，临床上需要针对相关危险因素进行预防，降低并发症的发生。 Objective Investigated of complications of laparoscopic cholecystectomy,and explored the main risk factors of LC.Methods Analysis of 860 cases were treated with laparoscopic resection,select 9 factors were analyzed by multivariate logistic regression analysis,explored related risk factors of laparoscopic cholecystectomy complications.Results 860 cases of LC operation in patients with operation complications occurred in 16 cases,the incidence rate was 1.86%.The main complications were stab bleeding,abdominal wall hernia,gallbladder artery bleeding,slip right hepatic duct with bile leakage,bile duct transection injury closed injury,bile duct residual stone after operation.Multivariate Logistic regression analysis found that major risk of bleeding after LC of course,wall thickness,wall and the surrounding tissue adhesion,Calot triangle adhesion and operation history(P=0.000,0.041,0.006,0.004,0.013,0.000).Conclusion Course,wall thickness,wall and the surrounding tissue adhesion,Calot triangle adhesion and operation history and LC operation complications are closely related,the clinical need for prevention against risk factors,reduce the incidence of complications.

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