摘要
目的分析肝胆手术后发生胆漏的相关因素,为临床预防肝胆手术后胆漏提供参考和依据。方法对2005年7月-2014年3月我院收治的肝胆手术后胆漏的患者共30例,未发生胆漏的患者52例的病例资料进行回顾性分析,比较分析两组患者的临床资料、手术方式、实验室检查结果等,并使用单因素分析方法及多因素分析方法分析导致胆漏发生的原因。结果单因素分析及多因素分析均提示,导致手术后胆漏的主要原因为：肝硬化、手术日总输液量及低血浆蛋白水平,差异有统计学意义（P〈0.05）;年龄、性别、是否使用生长激素、是否使用解痉药物等对患者胆漏的发生无明显影响。结论导致肝胆手术后胆漏的原因较多,主要与患者存在肝硬化、手术日输液量过多和低血浆蛋白水平有关,需要临床医生引起高度重视。
Objective To analyze the relevant factors of bile leakage after hepatobiliary surgery, so as to provide the clinical reference and basis for prevention. Methods From July 2005 to March 2014, a total of 30 cases with bile leakage and 52 cases without bile leakage after hepatobiliary surgery were retrospectively analyzed using univariate analysis and multivariate analysis. The causes of bile leakage were further studied. Results The univariate analysis and multivariate analysis both showed that bile leakage after surgery mainly related to cirrhosis, surgery day total infusion volume and low plasma protein levels, and the difference was statistically significant （ P 〈 0.05 ）. While the age, gender, growth hormone application and antispasmodic drug use had no significant effect on the bile leakage. Conclusion The risk factors for hepatobiliary surgery bile leakage are mainly of cirrhosis, surgery day infusion volume and low plasma protein levels, which needs the surgeons pay great attention to.
出处
《中国现代手术学杂志》
2014年第4期260-262,共3页
Chinese Journal of Modern Operative Surgery
关键词
胆瘘
因素分析
统计学
biliary fistula
factor analysis,statistical
