摘要
目的探讨急性胆囊炎患者行腹腔镜胆囊切除术时机选择的影响因素。方法回顾分析2004～2007年我院收治的70例均行腹腔镜胆囊切除术的急性胆囊炎患者的临床资料。根据患者手术时机,将患者分为≤1d组和>1d组。用Logistic回归分析术前诊断程序、合并症等因素对手术时机的影响。结果≤1d组患者的并发症发生率、住院天数与>1d组比较差异有统计学意义(P<0.05),Logistic回归分析显示,MRCP、ERCP、CT扫描以及术前合并症是影响手术时机的因素。结论患者在入院24h内进行腹腔镜胆囊切除术是有益的,更多的检查(如MRCP、ERCP、CT)会耽搁手术时机。
Objective To investigate the factors associated with time to laparoscopic cholecystectomy for acute cholecystitis. Methods A retrospective medical record review of 70 patients with acute cholecystitis was conducted. All patients were divided into 2 groups according to time to surgery, that was ≤1 day and 〉 1 day. Logistic regression models were constructed to assess the association of pre-operatlve diagnostic procedures,presenting signs and co-morbiditieswith time to surgery. Results The complication incidence and hospital days between the ≤ 1 d group and the 〉 1 d group were statistically signifieant（P 〈 0.05 ）. Longer time to surgery was associated with number of diagnostic studies and endoscopic retrograde cholangio-pancreatography （ ERCP ） as well with magnetic resonance cholangiopancreatography （MRCP） and computed tomography（CT） scans. Conclusion Performance of numerous diagnostic procedures, ERCP, MRCP or CT scan and co-morbidities were associated with longer time to surgery.
出处
《医学综述》
2009年第24期3829-3830,共2页
Medical Recapitulate
关键词
急性胆囊炎
腹腔镜胆囊切除术
手术时机
Acute cholecystitis
Laparoscopic cholecystectomy
Timing of surgery
