腹腔镜胆囊切除术后选择性腹腔引流患者引流时间延长的影响因素分析  

Analysis of influencing factors of prolonged drainage time in patients with selective abdominal drainage after laparoscopic cholecystectomy

作　　者：王洪会 WANG Honghui(st Department of General Surgery of Yi County People’s Hospital,Jinzhou 121100 Liaoning,China)

机构地区：[1]辽宁省锦州市义县人民医院普外一科,辽宁锦州121100

出　　处：《中国民康医学》2023年第5期7-10,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:分析腹腔镜胆囊切除术(LC)后选择性腹腔引流患者引流时间延长的影响因素。方法:选取2019年4月至2022年4月于该院200例行LC后选择性腹腔引流的患者进行前瞻性研究。统计术后引流时间,并采用Logistic回归分析LC后选择性腹腔引流患者引流时间延长的影响因素。结果:200例行LC后选择性腹腔引流患者中,47例术后引流时间≤2 d,设为引流时间正常组,153例术后引流时间>2 d,设为引流时间延长组;引流时间延长组的年龄、性别、高血压病史、糖尿病病史、胆囊穿刺史、上腹部手术史、术中出血量、慢性胆囊炎与引流时间正常组比较,差异均无统计学意义(P>0.05);引流时间延长组的体质量指数(BMI)≥28 kg/m^(2)、手术时间≥65 min、胆囊壁厚度≥0.5 cm、术后有腹痛发热占比均高于引流时间正常组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,BMI≥28 kg/m^(2)、手术时间≥65 min、胆囊壁厚度≥0.5 cm、术后有腹痛发热均为影响LC后选择性腹腔引流患者引流时间延长的危险因素(OR>1,P<0.05)。结论:BMI≥28 kg/m^(2)、手术时间≥65 min、胆囊壁厚度≥0.5 cm、术后有腹痛发热均为影响LC后选择性腹腔引流患者引流时间延长的危险因素。Objective:To analyze influencing factors of prolonged drainage time in patients with selective abdominal drainage after laparoscopic cholecystectomy(LC).Methods:A prospective study was conducted on 200 patients who underwent selective peritoneal drainage after LC from April 2019 to April 2022.The postoperative drainage time was statistically analyzed.Logistic regression was used to analyze the influencing factors of prolonged drainage time in the patients with selective abdominal drainage after LC.Results:Among the 200 patients with selective abdominal drainage after LC,47 patients with postoperative drainage time≤2 d were set as the normal drainage time group,and 153 patients with postoperative drainage time>2 d were set as the prolonged drainage time group.There were no significant differences in age,gender,history of hypertension,history of diabetes,history of gallbladder puncture,history of upper abdominal surgery,intraoperative blood loss,chronic cholecystitis between the prolonged drainage time group and the normal drainage time group(P>0.05).The proportions of the patients with body mass index(BMI)≥28 kg/m^(2),operation time≥65 min,gallbladder wall thickness≥0.5 cm,postoperative abdominal pain and fever in the prolonged drainage time group were higher than those in the normal drainage time group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that BMI≥28 kg/m^(2),operation time≥65 min,gallbladder wall thickness≥0.5 cm,postoperative abdominal pain and fever were risk factors for the prolonged drainage time in the patients with selective abdominal drainage after LC(OR>1,P<0.05).Conclusions:BMI≥28 kg/m^(2),operation time≥65 min,gallbladder wall thickness≥0.5 cm,postoperative abdominal pain and fever are all risk factors for the prolonged drainage time in the patients with selective abdominal drainage after LC.

关 键 词：腹腔镜胆囊切除术 腹腔引流 体质量指数 胆囊壁厚度 腹痛 发热 

分 类 号：R657.4[医药卫生—外科学]