修复时机对复杂腹腔镜胆囊切除术致医源性胆道损伤患者的影响分析  

Analysis of the Effect of Repair Timing on Iatrogenic Biliary Tract Injury Caused by Complex Laparoscopic Cholecystectomy

作　　者：耿洪进 GENG Hongjin(Department of General Surgery,Xinghua Hospital of Traditional Chinese Medicine,Xinghua 225700,China)

机构地区：[1]江苏省兴化市中医院普外科,江苏兴化225700

出　　处：《中国伤残医学》2024年第13期8-10,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨修复时机对复杂腹腔镜胆囊切除术(LC)致医源性胆道损伤患者的影响。方法:回顾性选择2021年1月-2023年11月兴化市中医院收治的60例医源性胆道损伤患者资料为研究对象,根据手术修复的时机将患者分为延迟修复组与非延迟修复组,每组30例。延迟修复组于损伤72 h后完成修复,非延迟修复组于损伤后72 h内完成修复,比较两组的Bismuth分型情况、手术情况及并发症发生情况。结果:两组Bismuth分型情况比较,差异无统计学意义(P>0.05)。非延迟修复组手术时间与术后住院时间均短于延迟修复组,差异均有统计学意义(P<0.05)。非延迟修复组并发症发生率为10.00%,低于延迟修复组的36.67%,差异有统计学意义(P<0.05)。结论:对存在复杂情况的LC手术患者,应警惕医源性胆道损伤风险,及时发现损伤并采取正确的修复方式,能够降低并发症的发生风险。Objective:To investigate the effect of repair timing on iatrogenic biliary tract injury caused by complex laparoscopic cholecystectomy(LC).Methods:Data of 60 patients with iatrogenic biliary duct injury admitted to Xinghua Hospital of Traditional Chinese Medicine from January 2021 to November 2023 were retrospectively selected as the study objects.According to the timing of surgical repair,the patients were divided into a delayed repair group and a non-delayed repair group,with 30 cases in each group.The delayed repair group completed the repair 72 h after injury,and the non-delayed repair group completed the repair within 72 h after injury.Bismuth classification,operation and complications were compared between the two groups.Results:There was no significant difference in Bismuth classification between the two groups(P>0.05).The operation time and postoperative hospital stay in the nondelayed repair group were shorter than those in the delayed repair group,the differences were statistically significant(P<0.05).The incidence of complications in the non-delayed repair group was 10.00%,which was lower than 36.67%in the delayed repair group,the difference was statistically significant(P<0.05).Conclusion:For patients with LC surgery with complicated conditions,the risk of iatrogenic biliary tract injury should be vigilant,timely detection of injury and correct repair methods can reduce the risk of complications.

关 键 词：医源性胆道损伤 腹腔镜手术 胆囊切除 修复时机 

分 类 号：R657.4[医药卫生—外科学]