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fu qiang jing dan nang qie chu shu zhong zhuan kai fu xiang guan yin su lin chuang fen xi
Author(s): 
Pages: 233-234
Year: Issue:  3
Journal: Journal of Nantong University(Medical sciences)

Keyword:  腹腔镜胆囊切除术中转开腹危险因素;
Abstract: 目的:探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)中转开腹相关因素及预防措施。方法:比较中转开腹者及未中转开腹者两组各41例患者性别、年龄、急性炎症、腹部手术史、糖尿病、体质量指数、总胆红素水平、腹腔镜手术经验、手术时间之间的差异。结果:中转开腹者组上腹部手术史占24.30%、平均年龄(58.67±16.56)岁、急性炎症发生率(43.90%)高于未中转开腹组的48.78%、(48.56±15.67)岁、24.39%(P<0.05),手术医师操作(48.23±10.34)次低于中转开腹组(102.23±20.38)次,是导致中转开腹的危险因素;两组性别、下腹部手术史、糖尿病、体质量指数、总胆红素水平、手术时间比较差异无统计学意义(P>0.05)。结论:LC存在一定程度的中转开腹,影响因素复杂,应实施针对性措施减少中转开腹。
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