腹腔镜胆囊切除术并发症及其影响因素分析

杜远峥

（宝鸡市第六人民医院，陕西 宝鸡，721006）

浏览次数：57次 下载次数：317次

摘要：

目的 探讨腹腔镜胆囊切除术常见并发症，并分析其影响因素。方法 回顾性分析898例于我院行腹腔镜胆囊切除术患 者的临床资料，根据是否发生并发症分为并发症组和无并发症组，对腹腔镜胆囊切除术并发症进行单因素及Logstic 多元回归分析。结果 898例患者中，共29例患者发生并发症，并发症发生率为3.23%。腹腔镜胆囊切除术并发症发生与临床症状、术中出血量、胆囊壁厚度、Calot 三角粘连及局部解剖变异情况有关（P<0.05）。Logistic回归分析结果显示，术中出血量、胆囊壁厚度、Calot三角粘连及局部解剖变异为腹腔镜胆囊切除术并发症发生的危险因素（P<0.05）。结论 术中出血量、胆囊壁厚度、Calot三角粘连及局部解剖变异为腹腔镜胆囊切除术并发症的危险因素，针对这些危险因素采取针对性的预防措施，可有效降低术后并发症发生率，提高临床治疗效果。

关键词：腹腔镜胆囊切除术；并发症；Calot 三角粘连；胆囊壁厚度

中图分类号：R657.4 文献标志码：A文章编号：2096-1413(2017)27-0051-02

Analysis of complications of laparoscopic cholecystectomy and its influencing factors
DU Yuan-zheng
(the Sixth People``s Hospital of Baoji, Baoji 721006, China)

ABSTRACT: Objective To investigate the complications of laparoscopic cholecystectomy and analyze the influencing factors of the complications. Methods The clinical data of 898 patients who treated with laparoscopic cholecystectomy in our hospital were retrospectively analyzed. The patients were divided into complication group and non-complication group according to the complication occurrence, then the influencing factors of the complications were analyzed by the single factor and Logistic multiple regression analysis. Results Among 898 patients, there were 29 patients occurred complications, the incidence of the complications was 3.23%. The clinical symptoms, peroperative bleeding volume, gallbladder wall thickness, Calot triangle adhesion and local anatomic variation were associated with laparoscopic cholecystectomy complications (P<0.05). The Logistic regression analysis showed that the peroperative bleeding volume, gallbladder wall thickness, Calot triangle adhesion and local anatomic variation were the risk factors of the laparoscopic cholecystectomy complications (P<0.05). Conclusion Peroperative bleeding volume, gallbladder wall thickness, Calot triangle adhesion and local anatomic variation are the risk factors of the laparoscopic cholecystectomy complications, targeted prevention measures for these risk factors can effectively reduce the incidence of postoperation complications and improve the clinical efficacy.
KEYWORDS: laparoscopic cholecystectomy; complications; Calot triangle adhesion; gallbladder wall thickness

参考文献：
[1] 陈智勇,陈文有,杨爱国.腹腔镜胆囊切除术并发症发生的相关影响因 素分析[J].中国普通外科杂志,2016,25(2):214-218.
[2] 何成有,郭邦振.腹腔镜胆囊切除术并发症的危险因素分析[J].医药前 沿,2015,37(13):142-143.
[3] 王敏.腹腔镜胆囊切除术后并发症分布及其影响因素分析[J].医学综 述,2015,21(17):3251-3253.
[4] 余锋,田志强,柏杨,等.腹腔镜胆囊切除术早期并发症的临床风险因素 分析[J].中国普通外科杂志,2015,24(8):1130-1134.
[5] 闫金龙,王建球.经脐单孔腹腔镜胆囊切除术并发症的影响因素及 防治对策[J].临床肝胆病杂志,2015,31(10):1682-1684.