中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
28期
54-54,56
,共2页
腹腔镜%胆囊切除术%并发症
腹腔鏡%膽囊切除術%併髮癥
복강경%담낭절제술%병발증
Laparoscope%Cholecystectomy%Complication
目的：探讨腹腔镜胆囊切除术患者术后发生并发症的相关因素。方法：收治腹腔镜胆囊切除术患者500例，对患者术后并发症进行分析。结果：发生术后并发症18例(3.6%)，其中急性胆囊炎3例，单纯性慢性胆囊炎4例，胆囊结石伴慢性胆囊炎8例，胆源性胰腺炎2例，胆囊息肉伴胆囊炎1例。胆囊壁厚≥5 mm的患者并发症发生率明显高于胆囊壁厚＜5 mm的患者(P＜0.05)。结论：胆囊壁厚≥5 mm，急性胆囊炎和胆囊结石伴慢性胆囊炎是发生并发症的主要病种。
目的：探討腹腔鏡膽囊切除術患者術後髮生併髮癥的相關因素。方法：收治腹腔鏡膽囊切除術患者500例，對患者術後併髮癥進行分析。結果：髮生術後併髮癥18例(3.6%)，其中急性膽囊炎3例，單純性慢性膽囊炎4例，膽囊結石伴慢性膽囊炎8例，膽源性胰腺炎2例，膽囊息肉伴膽囊炎1例。膽囊壁厚≥5 mm的患者併髮癥髮生率明顯高于膽囊壁厚＜5 mm的患者(P＜0.05)。結論：膽囊壁厚≥5 mm，急性膽囊炎和膽囊結石伴慢性膽囊炎是髮生併髮癥的主要病種。
목적：탐토복강경담낭절제술환자술후발생병발증적상관인소。방법：수치복강경담낭절제술환자500례，대환자술후병발증진행분석。결과：발생술후병발증18례(3.6%)，기중급성담낭염3례，단순성만성담낭염4례，담낭결석반만성담낭염8례，담원성이선염2례，담낭식육반담낭염1례。담낭벽후≥5 mm적환자병발증발생솔명현고우담낭벽후＜5 mm적환자(P＜0.05)。결론：담낭벽후≥5 mm，급성담낭염화담낭결석반만성담낭염시발생병발증적주요병충。
Objective:To explore the related factors of postoperative complications of patients with laparoscopic cholecystectomy. Methods:500 patients with laparoscopic cholecystectomy were selected.The postoperative complications of patients were analyzed. Results:18 cases(3.6%) had postoperative complications,including 3 cases were acute cholecystitis,4 cases were simple chronic cholecystitis,8 cases were cholecystolithiasis combined with chronic cholecystitis,2 cases were biliary pancreatitis,1 case was gallbladder polyps combined with cholecystitis.The complication incidence rate of patients with gallbladder wall thickness more than or equal to 5 mm was significantly higher than that of patients with gallbladder wall thickness less than 5 mm(P<0.05). Conclusion:The gallbladder wall thickness more than or equal to 5 mm,acute cholecystitis and cholecystolithiasis combined with chronic cholecystitis are the major diseases of complications.
