【摘要】 目的探讨胆囊结石患者腹腔镜胆囊切除术后发生肠粘连的影响因素。方法回顾性分析2018年1月至2020年12月在我院接受腹腔镜胆囊切除术治疗的60例胆囊结石患者的临床资料,根据术后是否发生肠粘连分为发生组和未发生组,经单因素和多因素Logistic回归分析探讨肠粘连发生的影响因素。结果 60例胆囊结石患者腹腔镜胆囊切除术后肠粘连发生率为11.67%(7/60);单因素分析和多因素Logistic回归分析显示,合并糖尿病、内置引流管、施术者经验不足、腹腔残余感染是胆囊结石患者腹腔镜胆囊切除术后发生肠粘连的独立影响因素(OR>1, P <0.05)。结论合并糖尿病、内置引流管、施术者经验不足、腹腔残余感染是胆囊结石患者腹腔镜胆囊切除术后发生肠粘连的独立影响因素,临床应采取相应干预措施以减少肠粘连的发生。更多还原

【Abstract】 Objective To explore the influential factors for the occurrence of intestinal adhesion after laparoscopic cholecystectomy in patients with cholecystolithiasis. Methods The clinical data of 60 patients with cholecystolithiasis who received laparoscopic cholecystectomy treatment in our hospital from January 2018 to December 2020 were retrospectively analyzed. According to the occurrence of postoperative intestinal adhesion, all cases were divided into the occurrence group and non-occurrence group. Univariate analysis and multivariate Logistic regression analysis were performed to explore the influential factors for the occurrence of intestinal adhesion. Results The incidence of intestinal adhesion after laparoscopic cholecystectomy in patients with cholecystolithiasis was 11.67%(7/60). Univariate analysis and multivariate Logistic regression analysis showed that complication of diabetes mellitus, internal drainage tube, inexperience of the operator, and residual abdominal infection were the independent influential factors for the occurrence of intestinal adhesion after laparoscopic cholecystectomy in patients with cholecystolithiasis(OR >1, P <0.05). Conclusions Complication of diabetes mellitus, internal drainage tube, inexperience of the operator, and residual abdominal infection are the independent influential factors for the occurrence of intestinal adhesion after laparoscopic cholecystectomy in patients with cholecystolithiasis. Corresponding intervention measures should be taken to reduce the occurrence of intestinal adhesions in clinic.更多还原