腔镜手术诱发皮下气肿危险因素分析

Analysis of risk factors loading to pneumohypoderma during laparoscopic operation

目的研究影响腔镜手术皮下气肿发生的相关因素。方法回顾性研究2003年1月￣2005年2月该院行各类腹腔镜手术3216例,采用χ2检验和Logistic回归方法对可能导致皮下气肿的10个相关因素进行多因素回归分析。结果皮下气肿发生率为3.39(%109/3216)。Logist回归分析发现体重、皮下脂肪厚度、术式、手术时间以及套管针重复穿刺是导致皮下气肿发生的主要危险因素。结论皮下气肿的发生与体重、皮下脂肪厚度、术式、手术时间以及套管针重复穿刺的临床因素相关。

[Objective] To investigate the risk factors leading to pneumohypederma. [Methods] Clinical data of 3216 patients undergoing laparoscopic, operation from January 2003 to February 2005 were collected and analyzed retrospectively. Ten clinical factors were recruited for the study in relation to pneumohypoderma. Data were analyzed by X2 test and Logistic regression. [Results] The overall pneumohypoderma rate was 3.39%（109/3,216）. Logistic regression analysis revealed that weight, thickness of subcutaneous fat, type of operation, time of operation and trocar replacement were important risk factors for pneumohypoderma. [Conclusion] Weight, thickness of subcutaneous fat, type of operation, time of operation and trocar replacement are important risks factors leading to pneumohypoderma.