医源性胆道损伤修复术手术时机的选择对患者预后的影响

Effect of Surgical Timing on the Prognosis of Patients With Iatrogenic Biliary Tract Injury

目的探讨医院行胆道损伤修复术(IBDI)手术时机的选择对患者预后的影响,旨在为临床治疗方案的选择提供参考。方法回顾性分析30例于我院普外科就诊行IBDI修复术患者的临床资料,按照诊断及修复时间分为观察组(16例,行及时修复术治疗)和对照组(14例,行延迟修复术治疗),术后随访6个月,观察两组患者治愈率、死亡率及并发症发生情况。结果观察组治愈率明显高于对照组(87.50%vs.64.29%),死亡率明显低于对照组(6.25%vs.21.43%),差异均具有统计学意义(P<0.05);观察组并发症发生率明显低于对照组(18.75%vs.50.00%),差异具有统计学意义(P<0.05)。结论术中及术后早期行IBDI修复术手术可提高患者的治愈率,并改善并发症发生情况,能明显改善患者预后。

Objective To investigate the influence of the timing of operation on the prognosis of patients with biliary tract repair（IBDI） in hospital, so as to provide reference for the selection of clinical treatment options. Methods A retrospective analysis of the clinical data of 30 cases in the repair of IBDI patients in our hospital department of general surgery for treatment, according to the diagnosis and repair time divided into observation group（16 cases, timely repair treatment） and control group（14 cases, delayed repair）, After 6 month of follow-up, the cure rate, mortality and complications of the two groups were observed. Results The cure rate of the observation groupwas significantly higher than that of the control group（87.50% vs. 64.29%）, and the mortality was significantly lower than that of the control group（6.25% vs. 21.43%）, the difference was statistically significant（P〈0.05）; The complication rate of the observation group was lower than that of the control group（18.75% vs. 50%）, and the difference was significant（P〈0.05）. Conclusion Intraoperative and early postoperative IBDI repair can improve the cure rate, improve complications, and improve the prognosis of patients.