腹腔镜胆囊切除术致胆管损伤的危险因素分析

Analysis of the risk factors of bile duct injury caused by laparoscopic cholecystectomy

目的:探讨胆囊切除手术导致胆管损伤的各类危险因素和发生原因。方法:采用回顾性分析方式,从胆囊疾病患者中选出383例,对患者基本情况、病理因素和其他因素进行分析。结果:患者血液中白蛋白含量≤40 g/L、总胆红素含量≥17.5μmol/L、存在并发症的患者胆管损伤几率较高。同时年龄≥40岁、原发病症为慢性胆囊炎症、具有胆囊积液的患者胆管损伤发生率较高。结论:在腹腔镜胆囊切除手术中,患者自身年龄、疾病类型、积液情况、白蛋白含量、总胆红素含量及存在并发症等因素对胆管损伤的影响较大,可根据这些数据制定相应的围手术期干预方案,降低胆管损伤率,保证患者健康。

Objective To explore gallbladder surgery to remove all kinds of risk factors and occurrence cause of bile duct injury. Method To choose retrospective analysis method,383 patients were selected with gallbladder diseases,the basic stituation,pathological factors and other factors of the patients were analyzed. Results Blood albumin levels in patients with lower than 40 g / L,total bilirubin content was more than 17. 5 μmol / L,existence of merging symptom in patients with bile duct injury risk was higher. While older than 40 years,and the primary symptoms of acute gallbladder inflammation,with cystic effusion were higher in patients with bile duct injury. Conclusion Under the laparoscopic gallbladder excision surgery,patient＇s own age,disease types,effusion,contents of albumin,total bilirubin and complications has large influence,according to these data,formulate the corresponding perioperative interventions,it can decrease bile duct injury rate and guarantee patients＇ health.