摘要
目的:分析腹腔镜下胆囊切除术手术相关并发症的危险因素,探讨防治此类并发症发生的措施。方法:选取600例行腹腔镜胆囊切除术的患者为观察对象,对10个相关因素进行Logistic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:患者性别、年龄、病程、结石数量、腹部手术史、解剖结构异常与腹腔镜胆囊切除术手术并发症发生率无相关性,比较差异无统计学意义(χ2分别为0.2934、0.0028、0.0063、0.0088、0.0261、0.0311,P>0.05)。而胆囊颈结石、胆囊壁厚度、胆囊与周围脏器粘连、Calot三角粘连等4个因素与手术并发症发生率有相关性,比较差异有统计学意义(χ2分别为4.1560、4.9681、5.0681、4.5131,P<0.05)。进一步进行Logistic回归分析,胆囊壁厚度、胆囊与周围脏器粘连、Calot三角粘连对腹腔镜胆囊切除术手术并发症发生有影响(P<0.05)。结论:胆囊壁厚度、胆囊与周围脏器粘连、Calot三角粘连与腹腔镜胆囊切除术手术并发症的发生有密切关系,易导致胆总管损伤、肝动脉损伤、胆囊破裂等并发症的发生。
Objective： To analyze the risk factors of operation related complications of laparoscopic cholecystectomy and to explore prevention measures. Methods： A total of 600 cases of patients who under- went laparoscopic cholecystectomy were selected as the observation group, and 10 related indexes were an- alyzed by logistic analysis to discuss the related risk factors of operation related complications in laparo- scopic cholecystectomy. Results：Patient gender, age, disease course, calculus quantity, abdominal surgery history and anatomical structure anomaly were not related with complications incidence of laparoscopic cholecystectomy （X2= 0. 2934,0. 0028,0. 0063,0. 0088,0. 0261,0. 0311, P〉0. 05）. The gallbladder calcu- lus, gallbladder wall thickness, gallbladder and surrounding organs adhesion, Calot triangle adhesion were related with the laparoscopic cholecystectomy complication incidence. （X2 =4. 1560,4. 9681,5. 0681,4. 5131,P〈0.05）. The gallbladder wall thickness, gallbladder and surrounding organs adhesion, Calot tri- angle adhesion effected the laparoscopic cholecystectomy complications according to the logistic analysis （P〈0.05）. Conclusion： The gallbladder wall thickness, gallbladder and surrounding organs adhesion, Calot triangle adhesion were related with the laparoscopie cholecystectomy complications incidence, since it may induce the occurrence of complications like common bile duct injury, hepatic artery injury, gallbladder rup- ture, et al.
出处
《海南医学院学报》
CAS
2013年第1期77-79,共3页
Journal of Hainan Medical University
基金
中国高校医学期刊临床专项资金项目(112210482)~~
作者简介
胡荣生（1968-），男，哈尔滨市人，本科，副主任医师，电话：13936382068，电子信箱：hurongsheng@126．com，wlbpl3@yahoo．cn。
