腹腔镜阑尾切除术后并发肠梗阻的相关危险因素研究  

Risk Factors of Intestinal Obstruction after Laparoscopic Appendectomy

作　　者：余媛 孙蔚 姜文霞 刘军 王保琴 YU Yuan;SUN Wei;JIANG Wen-xia;LIU Jun;WANG Bao-qin(Department of External Medicine,Zhangshu People's Hospital,Zhangshu 331200,Jiangxi Province,China)

机构地区：[1]樟树市人民医院外一科,江西樟树331200

出　　处：《罕少疾病杂志》2024年第12期106-107,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨腹腔镜阑尾切除术(LA)后并发肠梗阻的相关危险因素。方法选择2021年1月至2023年8月在樟树市人民医院行LA术治疗的134例急性阑尾炎患者,归类、整理患者资料,分析LA后并发肠梗阻的相关危险因素。结果134例急性阑尾炎患者LA术后出现肠梗阻21例(15.67%),未出现肠梗阻113例(84.33%);多因素分析显示:病程>24 h(β=1.414,OR=4.113,95%CI=1.557-10.863)、手术时间>1 h(β=1.254,OR=3.504,95%CI=1.342-9.144)、低钾血症(β=0.968,OR=2.632,95%CI=1.019-6.793)、术前白蛋白<35 g/L(β=1.048,OR=2.852,95%CI=1.102-7.378)、白细胞计数升高(β=4.278,OR=72.100,95%CI=18.268-284.563)是LA后并发肠梗阻的高危因素(P<0.05)。结论LA后并发肠梗阻发生与患者病程、术前白蛋白水平、白细胞计数及手术时间、低钾血症有关。Objective To investigate the risk factors of intestinal obstruction after laparoscopic appendectomy(LA).Methods A total of 134 patients with acute appendicitis who were treated with LA in Zhangshu People's Hospital from January 2021 to August 2023 were selected.The patient data were classified and sorted to analyze the risk factors of intestinal obstruction after LA.Results Among 134 patients with acute appendicitis after LA operation,21 cases(15.67%)had intestinal obstruction and 113 cases(84.33%)did not.Multi-factor analysis showed that:Duration of disease>24 h(β=1.414,OR=4.113,95%CI=1.557-10.863),operation time>1 h(β=1.254,OR=3.504,95%CI=1.342-9.144),hypokalemia(β=0.968,OR=2.632,95%CI=1.019-6.793),preoperative albumin<35 g/L(β=1.048,OR=2.852,95%CI=1.102-7.378),white blood cell count increased(β=4.278,OR=72.100,95%CI=18.268-284.563)was a high risk factor for intestinal obstruction after LA(P<0.05).Conclusion The occurrence of intestinal obstruction after LA is related to the course of disease,preoperative albumin level,white blood cell count,operation time and hypokalemia.

关 键 词：肠梗阻 腹腔镜阑尾切除术 白蛋白 急性阑尾炎 

分 类 号：R574.2[医药卫生—消化系统]