UBE术后引流量的相关因素分析

目的 分析影响单侧双通道内镜技术(UBE)术后引流量的相关因素。方法 60例患者术后引流量,以引流量中位数(50mL)为界值,分为高引流量组30例和低引流量组30例。比较两组患者性别、年龄、手术节段、合并高血压病史、合并糖尿病史、体质量指数(BMI)、长期抗凝药物治疗史、骨质疏松病史(t<2.5)。结果 手术节段为L4~5(P=0.017)、BMI≥27(P=0.047)、合并高血压病史(P=0.040)与术后引流量增加显著相关。年龄≥60岁、性别、合并骨质疏松病史t<2.5,差异无统计学意义(P>0.05)。结论 手术节段为L4~5、BMI≥27、合并高血压病史均为影响UBE术后引流量增加的危险因素。术前应加强对手术节段为L4~5、BMI≥27、合并高血压病史患者的医疗护理,采取必要的干预措施防治术后并发症的发生。

Objective To investigate the related factors affecting the postoperative drainage volume of unilateral biportal endoscopy(UBE).Methods 60 patients were divided into the high drainage volume group(n=30)and the low drainage volume group(n=30)based on the median drainage volume(50 mL).Sex,age,surgical segment,history of hypertension,history of diabetes mellitus,body mass index(BMI),history of long-term anticoagulant therapy and history of osteoporosis(t<2.5)were recorded and compared between the two groups.Results The increase of postoperative drainage volume was significantly correlated with L4~5(P=0.017),BMI≥27(P=0.047),history of hypertension(P=0.040).Age≥60 years,sex,osteoporosis history(t<2.5)showed no statistically significant differences(P>0.05).Conclusion L4~5,BMI≥27,hypertension history are the risk factors of increasing drainage volume after UBE.The patients with L4~5,BMI≥27 and hypertension history should be given intensive medical care before operation,and necessary intervention measures should be taken to prevent the occurrence of postoperative complications.