腹腔镜胆囊切除术中转开腹的危险因素及预后分析

发布时间：2018-10-26 09:48

【摘要】：目的探讨腹腔镜胆囊切除术中转开腹的危险因素及预后。方法回顾性分析近期我院外科手术室的500例腹腔镜胆囊切除术患者的临床资料,运用单因素分析法和多因素Logistic回归分析法筛选腹腔镜胆囊切除术中转开腹的危险因素,并总结腹腔镜胆囊切除术中转开腹的预后效果。结果本组500例胆囊切除术患者中转开腹率为4.2%。BMI指数、患者腹部手术史、患者胆囊炎发作次数、医师临床经验、患者胆囊壁厚度是腹腔镜胆囊切除术中转开腹的独立危险因素。21例腹腔镜胆囊切除术期间中转开腹患者无严重的并发症发生。结论腹腔镜胆囊切除术术前医师应对患者肥胖、腹部手术史、胆囊炎反复发作、胆囊壁厚度进行合理准确的评估,从而为外科医生术式决策提供参考,并降低腹腔镜胆囊切除术的中转开腹率。
[Abstract]:Objective to investigate the risk factors and prognosis of laparoscopic cholecystectomy. Methods the clinical data of 500 patients undergoing laparoscopic cholecystectomy in our hospital were retrospectively analyzed. The risk factors of conversion to laparotomy in laparoscopic cholecystectomy were screened by univariate analysis and multivariate Logistic regression analysis. The prognosis of laparoscopic cholecystectomy was summarized. Results the conversion rate of cholecystectomy was 4.2%.BMI index, the history of abdominal surgery, the frequency of cholecystitis attack, the clinical experience of physicians. The thickness of gallbladder wall was an independent risk factor for conversion to open operation in laparoscopic cholecystectomy, and there were no serious complications in 21 patients with conversion to open operation during laparoscopic cholecystectomy. Conclusion before laparoscopic cholecystectomy, doctors should evaluate the obesity, history of abdominal surgery, recurrent attack of cholecystitis and thickness of gallbladder wall in order to provide a reference for surgeon to make decision. And reduce the conversion rate of laparoscopic cholecystectomy.
【作者单位】：广东省深圳市龙华区中心医院肝胆外科;深圳市第二人民医院肝胆外科;
【分类号】：R657.4

【参考文献】