腹腔镜胆囊切除术不同取胆途径对切口感染的影响  

The effect of different route of cholecyst removal on incisional infection in laparoscopic cholecystectomy

作　　者：王幼黎[1] 高举[1] 杨兴武[2] 

机构地区：[1]中国航空工业中心医院,北京100012 [2]陕西中医学院附属医院

出　　处：《腹腔镜外科杂志》2010年第1期52-53,共2页Journal of Laparoscopic Surgery

摘　　要：目的：比较腹腔镜胆囊切除术（1aparoscopic cholecystectomy，LC）不同取胆途径对切口感染的影响。方法：回顾分析1782例Lc术后患者不同取胆途径切口感染发生率及感染后换药时间。结果：经剑突下取胆途径切口感染4例（0．43％），经脐途径切口感染13例（1．5％），差异有统计学意义（P〈0．05），切口感染换药时间前者平均14d（10—17d），后者平均20d（10～30d），差异有统计学意义（P〈0．05）。结论：LC经剑突下取胆途径切口感染率低于经脐途径，且切口感染后换药时间短于后者。相对于经脐途径，剑突下取胆途径是较好的选择。Objective ：To compare the effect of different route of cholecyst removal in laparoscopic cholecystectomy （LC） on incisional infection. Methods ： A retrospective analysis was made on incisional infection rate and time of dressing change in 1 782 patients who underwent LC with different route of choleeyst removal. Results ： There was significant difference on incisional infection between transxiphoid route （4 cases ,0.43% ）and transumbilical route（ 13 cases, 1.5% ）（P 〈 0.05 ）. There was significant difference in time of dressing changes between transxiphoid （ 10-17d, average 14d） and transumbilical（ 10-30d, average 20d） route （ P 〈 0.05 ）. Conclusions ： The incisional infection rate of transxiphoid route was lower than that of transumbilical route, so is time of dressing changes. Compared with transumbilical route, it is a better choice to remove cholecyst by transxiphoid route in LC.

关 键 词：胆囊切除术 腹腔镜 切口感染 取胆途径 

分 类 号：R657.4[医药卫生—外科学]