腹腔镜胆囊切除术后再发腹痛43例分析  

Analysis of 43 patients with abdominal pain after laparoscopic cholecystectomy

作　　者：李安文[1] 周筱筠[1] 胡三元[2] 

机构地区：[1]南华大学附属南华医院普外科,湖南衡阳421002 [2]山东大学齐鲁医院普外科,山东济南250012

出　　处：《生物医学工程与临床》2005年第1期35-36,共2页Biomedical Engineering and Clinical Medicine

摘　　要：目的探讨腹腔镜胆囊切除后腹痛发生的原因、临床表现及防治措施。方法对43例腹腔镜胆囊切除后腹痛患者进行随访及回顾性分析。结果43例中除2例住院再手术外,余均经门诊抗炎、利胆、对症支持处理后腹痛缓解或消失。结论掌握腹腔镜胆囊切除术的适应证及禁忌证,术中严格操作,高度重视,避免胆囊破裂、胆汁和结石漏入腹腔及胆囊管留置过长是防止腹腔镜胆囊切除术后腹痛的重要措施。Objective To investigate the causes,clinical manifestations and management of abdominal pain after laparoscopic cholecystectomy(LC). Methods Forty-three patients with abdominal pain after LC were followed up and retrospectively analyzed. Results Of 43 patients, the abdominal pain of 41 were abated or disappeared after treating with antibiotics,cholagogics,and expectant managment except 2 were reoperated. All the patients were well recovered. Conclusion The important prevention approach for abdominal pain after LC are thoroughly learning the indications and contraindications of LC,precisely performing during operation,in order to avoid from rupture of gallstones into abdominal cavity and overlength indwelling of bile duct.

关 键 词：术后腹痛 腹腔镜胆囊切除术 再发 术后 结石漏入腹腔 利胆 禁忌证 严格 结论 支持 

分 类 号：R657.4[医药卫生—外科学]