CAJ | 학술논문

目的探讨腹腔镜胆囊切除术(LC)中转开腹的危险因素.方法 1020例LC患者,选取其中36例中转开腹患者作为病例组,108例LC成功患者作为对照组,采用单因素分析和非条件Loistic回归模型分析LC中转开腹的危险因素.结果年龄＞65岁(OR=3.234,95％ CI:0.532～6.853),病程＞72 h(OR=2.342,95％ CI:0.568～5.656),上腹部手术史(OR=2.453,95％ CI:0.345～7.453),胆囊壁厚度≥6 mm(OR=2.453,95％ CI:0.453～6.343),白细胞计数≥15.0×109/L(OR=4.532,95％ CI:0.535～8.329)是LC中转开腹的危险因素.结论术前综合评估患者具有的危险因素进而选择手术方案,对降低LC中转开腹率具有重要的临床意义.
목적 탐토복강경담낭절제술(LC)중전개복적위험인소.방법 1020례LC환자,선취기중36례중전개복환자작위병례조,108례LC성공환자작위대조조,채용단인소분석화비조건Loistic회귀모형분석LC중전개복적위험인소.결과 년령＞65세(OR=3.234,95％ CI:0.532～6.853),병정＞72 h(OR=2.342,95％ CI:0.568～5.656),상복부수술사(OR=2.453,95％ CI:0.345～7.453),담낭벽후도≥6 mm(OR=2.453,95％ CI:0.453～6.343),백세포계수≥15.0×109/L(OR=4.532,95％ CI:0.535～8.329)시LC중전개복적위험인소.결론 술전종합평고환자구유적위험인소진이선택수술방안,대강저LC중전개복솔구유중요적림상의의.
Objective To investigate the risk factors for conversion of laparoscopic cholecystectomy (LC) to laparotomy.Methods In 1020 LC patients,36 patients with conversion of LC to laparotomy were chosen as the case group,108 patients with successful LC were chosen as the control group.Univariate analysis and Logistic multivariate regression model were used to analyze the risk factors for conversion of LC to laparotomy.Results Age ＞ 65 years (0R=3.234,95％ CI:0.532-6.853),course of disease ＞ 72h (OR =2.342,95％ CI:0.568 ～ 5.656),history of upper abdominal operation (OR =2.453,95％ CI:0.345-7.453),thickness of gallbladder wall ≥ 6 mm (OR =2.453,95％ CI:0.453-6.343),white bloodcell count ＞ 15.0 × 109/L (OR =4.532,95％ CI:0.535-8.329) were risk factors for conversion of LC to laparotomy.Conclusion Preoperative comprehensive evaluation the risk factors and selecting suitable program have important clinical significant in reducing the rate of conversion LC to laparotomy.